Gilbert Smiles INC
Dentist, Dental Public Health in Gilbert, AZ. Organization (NPI-2).
NPI number1518976216
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1518976216
- Entity type
- Organization (NPI-2)
- Legal business name
- Gilbert Smiles INC
- Organization subpart
- No
- Enumeration date
- Aug 5, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223D0001X | Dentist, Dental Public Health | AZ5267 | AZ | Yes |
Other names
- Gilbert Smiles (Doing Business As)
Practice location
1661 S Val Vista DrSte C 101
Gilbert, AZ 85296
Phone 480-558-3100 · Fax 480-855-9507
Mailing address
1661 S Val Vista DrSte C 101
Gilbert, AZ 85296
Phone 480-558-3100 · Fax 480-855-9507
Authorized official
John Keith Swain
Owner Dentist
4805583100
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