Individual
DR. ALLEN DENE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
45 CAPRI BLVD SUITE G, LAKE HAVASU, AZ 86403-5657
(650) 291-0068
Mailing address
45 CAPRI BLVD SUITE G, LAKE HAVASU, AZ 86403-5657
(650) 291-0068
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30-023313
OH
122300000X
Dentist
Primary
D010799
AZ
Other
Enumeration date
08/16/2010
Last updated
10/22/2021
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