Westbrook Dental Center, P.A.
Dentist, General Practice in Peoria, AZ. Organization (NPI-2).
NPI number1982248084
StatusActive
Last updated in NPPESJan 6, 2020
Details
- NPI
- 1982248084
- Entity type
- Organization (NPI-2)
- Legal business name
- Westbrook Dental Center, P.A.
- Organization subpart
- No
- Enumeration date
- Oct 31, 2019
- Certification date
- Jan 6, 2020
- Last updated
- Jan 6, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | – | – | Yes |
Other names
- Dr. Johnny Lee Smith, D.M.D. (Other Name)
Practice location
9276 W Union Hills Dr Ste APeoria, AZ 85382-8206
Phone 623-972-6137 · Fax 623-972-6334
Mailing address
9276 W Union Hills Dr Ste APeoria, AZ 85382-8206
Phone 623-972-6137 · Fax 623-972-6334
Authorized official
Johnny L Smith
Director/President/Owner
6239726137
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