Individual
DR. COLIN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2658 S. SIGNAL BUTTE RD., MESA, AZ 85209
(480) 867-3923
Mailing address
8039 S MICHELE LN, TEMPE, AZ 85284-1362
(703) 401-6401
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401415169
VA
1223G0001X
General Practice Dentistry
Primary
D009706
AZ
1223G0001X
General Practice Dentistry
DEN1001622
DC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/27/2016
Last updated
01/09/2019
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