Individual
MATTHEW LOT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1475 S 20TH AVE, SAFFORD, AZ 85546-4053
(928) 428-1617
Mailing address
1475 S 20TH AVE, SAFFORD, AZ 85546-4053
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D009035
AZ
Other
Enumeration date
07/22/2014
Last updated
08/25/2021
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