Individual
SKYLER JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3160 E QUEEN CREEK RD STE 102, GILBERT, AZ 85297-8405
(480) 620-7101
Mailing address
23472 S 223RD PL, QUEEN CREEK, AZ 85142-3218
(480) 620-7101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010035
AZ
Other
Enumeration date
05/30/2018
Last updated
01/08/2021
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