Individual
BRADLEY JONATHAN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2162 W SPEEDWAY BLVD, TUCSON, AZ 85745-3900
(801) 592-6624
Mailing address
2162 W SPEEDWAY BLVD, TUCSON, AZ 85745-3900
(801) 592-6624
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D008138
AZ
Other
Enumeration date
02/08/2011
Last updated
02/08/2011
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