NPI 1952488710

Drs of Smiles PC

Organisation Exclusive Provider Organization Mesa, AZ

Practice location

Address: 1056 S Val Vista Dr STE 1, Mesa, AZ 85204-5625
Phone: (480) 834-6991
Fax: (480) 654-8836

Authorised official

Name: Scott Taylor Lesueur
Title: President
Phone: (480) 834-6991

Registered specialties (2)

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 3434 (AZ)

Other Exclusive Provider Organization providers in Arizona →

Exclusive Provider Organization

Managed Care Organizations Taxonomy 302F00000X Licence 2695 (AZ)

Registry record

NPI: 1952488710
Entity type: Organization
NPI issued: 1 Nov 2006
Record last updated: 15 Feb 2011

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.