| NPI | 1982248084 |
|---|---|
| Other Name | DR. JOHNNY LEE SMITH, D.M.D. |
| Entity Type | Organization |
| Authorized Contact | JOHNNY L SMITH Director/President/Owner 623-972-6137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2020-01-06 |