| NPI | 1538212048 |
|---|---|
| Former Legal Business Name | DESERT VISTA NORTH PLLC |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TODD SMITH President/Owner 480-203-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist (Licence: AZ D4932) |
| Enumeration Date | 2007-01-19 |
| Last Update Date | 2015-06-08 |