Individual
CAMERON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
6535 W CAMELBACK RD STE 4, PHOENIX, AZ 85033-1608
(623) 848-1201
Mailing address
6535 W CAMELBACK RD STE 4, PHOENIX, AZ 85033-1608
(623) 848-1201
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D009419
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D009419
ARIZONA STATE BOARD OF DENTAL EXAMINERS
AZ
Enumeration date
06/10/2016
Last updated
06/10/2016
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