NPI 1013101419

Southwest Smiles, LLC

Organisation Dental Hygienist Gilbert, AZ

Practice location

Address: 2487 S Gilbert Rd STE 105, Gilbert, AZ 85295-2800
Phone: (480) 732-1888
Mailing address: 11512 E Queensborough Ave, Mesa, AZ 85212-4091

Authorised official

Name: Kelly Marie Povar
Title: Managing Member
Phone: (480) 951-6598

Registered specialties

Dental Hygienist Primary

Dental Providers Taxonomy 124Q00000X Licence 5585 (AZ)

Other Dental Hygienist providers in Arizona →

Registry record

NPI: 1013101419
Entity type: Organization
NPI issued: 29 Aug 2007
Record last updated: 29 Aug 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.