Organization
MODERN DENTAL PROFESSIONALS-ARIZONA PC
Active
Other names
BRIGHTNOW PEORIA
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY SMITH DDS (PRESIDENT)
(714) 428-2000
Entity
Organization
Contact information
Practice address
9230 W NORTHERN AVE, 106, GLENDALE, AZ 85305-1100
(626) 696-3990
(623) 877-8831
Mailing address
9230 W NORTHERN AVE, 106, GLENDALE, AZ 85305-1100
(626) 696-3990
(623) 877-8831
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/22/2011
Last updated
11/22/2011
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