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Contact Information

QUEEN CREEK SMILES, LLP
18550 EAST RITTENHOUSE ROAD
SUITE 103
QUEEN CREEK, AZ85242
 Phone: 602-903-6644
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for QUEEN CREEK SMILES LLP · (Female)

NPI Number 1104014943
Status Active
Credentials
Entity Individual
Enumeration date 10/05/2007
Last updated 06/21/2010 - About 16 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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