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Organization
JUSTIN R SMITH DMD PA
Active
Organization
JUSTIN R SMITH DMD PA
Active
Other names
St. Andrews Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY GARCIA (CREDENTIALING LEAD)
(972) 869-3789
Entity
Organization
Contact information
Practice address
2407 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2170
(850) 763-5021
Mailing address
2407 SAINT ANDREWS BLVD, PANAMA CITY, FL 32405-2170
(850) 763-5021
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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