Individual
CAROL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
13925 W MEEKER BLVD, SUN CITY WEST, AZ 85375-4430
(623) 556-5006
(623) 556-5564
Mailing address
6377 W IRMA LN, GLENDALE, AZ 85308-6611
(623) 572-1381
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
4627
AZ
Other
Enumeration date
10/05/2006
Last updated
07/08/2007
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