Individual
EARL A SMITH ESTATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2400 HIGHWAY 95, SUITE 60, BULLHEAD CITY, AZ 86442-7313
(928) 758-5955
(928) 758-5993
Mailing address
2400 HIGHWAY 95, SUITE 60, BULLHEAD CITY, AZ 86442-7313
(928) 758-5955
(928) 758-5993
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4687
AZ
Other
Enumeration date
02/02/2010
Last updated
02/02/2010
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