Organization
AZ FAMILY AND KIDS DENTAL AVONDALE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD SMITH DDS (OWNER/DENTIST)
(480) 325-7639
Entity
Organization
Contact information
Practice address
10740 W LOWER BUCKEYE RD STE 105, AVONDALE, AZ 85323-9655
(623) 439-8045
(623) 439-8046
Mailing address
10740 W LOWER BUCKEYE RD STE 105, AVONDALE, AZ 85323-9655
(623) 439-8045
(623) 439-8046
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
07/27/2020
Last updated
07/27/2020
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