Maricopa Smiles, LLC

NPI #1922575018 in Maricopa, Arizona

Provider Information

NPI Number: 1922575018
Entity Type: Organization
Organization Name: Maricopa Smiles, LLC
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Oct 27, 2018
Last Updated: Oct 27, 2018

Practice Location

Address: 20917 N JOHN WAYNE PKWY STE A105
City: Maricopa
State: Arizona
ZIP Code: 85139-2918
Phone: (833) 793-7773

Authorized Official

Name: TIN NGUYEN, DDS
Title: DENTIST/OWNER
Phone: (833) 793-7773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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