An Amazing Smile, PLLC
Dentist in Tempe, AZ. Organization (NPI-2).
NPI number1295033769
StatusActive
Last updated in NPPESMar 8, 2011
Details
- NPI
- 1295033769
- Entity type
- Organization (NPI-2)
- Legal business name
- An Amazing Smile, PLLC
- Organization subpart
- No
- Enumeration date
- Mar 8, 2011
- Last updated
- Mar 8, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | – | – | Yes |
Practice location
8675 S Priest DrSuite-101
Tempe, AZ 85284-1914
Phone 480-208-7436 · Fax 866-316-7796
Mailing address
Po Box 2924Scottsdale, AZ 85252-2924
Phone 480-208-7436 · Fax 866-316-7796
Authorized official
Mahdi A Ali
Owner
4802087436
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