| Sunrise Smile Center Llc | |
|
3029 N Alma School Rd Suite 110 Chandler AZ 85224-1464 | |
| (480) 993-3870 | |
| (480) 777-5958 |
| Full Name | Sunrise Smile Center Llc |
|---|---|
| Speciality | Dentist |
| Location | 3029 N Alma School Rd, Chandler, Arizona |
| Authorized Official Name and Position | Olga Revilla Nouri (DENTIST) |
| Authorized Official Contact | 4809933870 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sunrise Smile Center Llc 3029 N Alma School Rd Suite 110 Chandler AZ 85224-1464 Ph: (480) 993-3870 | Sunrise Smile Center Llc 3029 N Alma School Rd Suite 110 Chandler AZ 85224-1464 Ph: (480) 993-3870 |
| NPI Number | 1003028572 |
|---|---|
| Provider Enumeration Date | 05/04/2007 |
| Last Update Date | 11/03/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003028572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 5737 (Arizona) | Primary |
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