Provider Demographics
NPI:1063931152
Name:SAINI SMILES, PLC
Entity type:Organization
Organization Name:SAINI SMILES, PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SANTOSH
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAINI
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:623-584-2288
Mailing Address - Street 1:13603 W CAMINO DEL SOL STE C
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-4483
Mailing Address - Country:US
Mailing Address - Phone:623-584-2288
Mailing Address - Fax:623-214-1817
Practice Address - Street 1:13603 W CAMINO DEL SOL STE C
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-4483
Practice Address - Country:US
Practice Address - Phone:623-584-2288
Practice Address - Fax:623-214-1817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-09-11
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental