Larisa R Smith D.M.D.

NPI 1760884001 - Dentist - 122300000X

NPI Details
NPI 1760884001
Gender Female
Enumeration Date 09/18/2014
Last Updated 09/18/2014
Entity Type Individual
Active Over 3 years ago
Practice Location
1705 W MAIN ST
MESA AZ, 85201-6920, US
Phone (480) 247-7303
Business Location
MESA AZ, 85210-7437, US
Phone (805) 312-1789
Taxonomy Code 122300000X
License State Arizona
License Number D009078
Remove 1760884001 NPI Number

According to our database, Larisa R Smith D.M.D. NPI is 1760884001, taxonomy code is 122300000X and license number is D009078, license state is located at Arizona. Larisa R Smith D.M.D. physically located at 1705 W Main St, Mesa AZ, 85201-6920. NPI Number Larisa R Smith D.M.D. has the Individual type.

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1760884001 NPI number is provided on an as is basis without warranty of any kind. 1760884001 is maintained by the National Plan & Provider Enumeration System. The contents of Larisa R Smith D.M.D. are for informational purposes only.