Organization
MODERN DENTAL PROFESSIONALS - ARIZONA PC
Active
Other names
BRIGHTNOW DENTAL PHOENIX-CAMELBACK
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROY SMITH DDS (PRESIDENT)
(714) 428-2000
Entity
Organization
Contact information
Practice address
2131 E CAMELBACK ROAD, STE 102, PHOENIX, AZ 85015
(714) 428-2000
Mailing address
2131 E CAMELBACK ROAD, STE 102, PHOENIX, AZ 85015
(714) 428-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
05/08/2012
Last updated
05/08/2012
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