Individual
DR. DONALD LOREN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8921 W FOSSIL CREEK RD, STRAWBERRY, AZ 85544
(928) 476-2655
(928) 476-2655
Mailing address
PO BOX 2409, 8921 W FOSSIL CREEK RD, STRAWBERRY, AZ 85544-2409
(928) 476-2655
(928) 476-2655
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2557
AZ
Other
Enumeration date
10/05/2007
Last updated
10/05/2007
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