Individual
CATHERINE JOAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D.
Contact information
Practice address
721 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 279-7312
Mailing address
721 W GLENDALE AVE, PHOENIX, AZ 85021-8629
(602) 279-7312
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D4017
AZ
Other
Enumeration date
02/09/2012
Last updated
02/09/2012
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