Organization
DOUGLAS L SMITH, DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS L SMITH DDS (PRESIDENT)
(480) 926-4498
Entity
Organization
Contact information
Practice address
1467 W ELLIOT RD, SUITE 101, GILBERT, AZ 85233-5167
(482) 926-4498
Mailing address
1467 W ELLIOT RD, SUITE 101, GILBERT, AZ 85233-5167
(482) 926-4498
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
3608
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AZ3608
DENTAL LICENSE
AZ
Enumeration date
05/31/2007
Last updated
08/22/2020
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