Individual
BRADLEY COLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1900 14TH ST STE C, PLANO, TX 75074-6426
(469) 298-0247
Mailing address
7102 N 35TH AVE STE 1, PHOENIX, AZ 85051-8390
(602) 777-3777
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D010730
AZ
Other
Enumeration date
06/21/2019
Last updated
09/29/2020
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