Individual
MICHAEL ALAN SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
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
122300000X
Dentist
Primary
D4376
AZ
Other
Enumeration date
04/13/2006
Last updated
07/08/2007
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