Individual
RANDALL B. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
PARKER INDIAN HEALTH CERNTER, 12033 AGENCY RD., PARKER, AZ 85344
(928) 669-3162
Mailing address
PARKER INDIAN HEALTH CERNTER, 12033 AGENCY RD., PARKER, AZ 85344
(928) 669-3162
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30.019485
OH
Other
Enumeration date
11/28/2006
Last updated
12/18/2007
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