Individual
DR. CLARENCE CHESTER SCHMIDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3911 W MCDOWELL RD STE 15, PHOENIX, AZ 85009-2102
(602) 422-7333
(602) 442-7999
Mailing address
3911 W MCDOWELL RD STE 15, PHOENIX, AZ 85009-2102
(602) 422-7333
(602) 442-7999
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D4206
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
451914
AHCCCS ID #
AZ
Enumeration date
10/20/2006
Last updated
07/08/2007
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