Individual
GREGORY P SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4915 E BASELINE RD STE 105, GILBERT, AZ 85234-2966
(310) 309-0947
Mailing address
4915 E BASELINE RD STE 105, GILBERT, AZ 85234-2966
(310) 309-0947
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7759
AZ
Other
Enumeration date
01/14/2010
Last updated
01/14/2010
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