Individual
DR. PHILIP J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
7455 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 745-2454
(520) 745-0014
Mailing address
7455 E TANQUE VERDE RD, TUCSON, AZ 85715-3477
(520) 745-2454
(520) 745-0014
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D1665
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
765597
—
AZ
Enumeration date
12/20/2006
Last updated
01/27/2009
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