Organization
AZ FAMILY AND KIDS DENTAL TEMPE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RICHARD PARKER SMITH DDS (OWNER/DENTIST)
(480) 777-5570
Entity
Organization
Contact information
Practice address
825 W BASELINE RD STE 6, TEMPE, AZ 85283-5371
(480) 777-5570
Mailing address
825 W BASELINE RD STE 6, TEMPE, AZ 85283-5371
(480) 777-5570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
12/19/2022
Last updated
12/19/2022
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