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Individual
DR. NICHOLAS SMITH
Active
Individual
DR. NICHOLAS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
133449269926
UT
1223P0221X
Pediatric Dentistry
Primary
13344926-9925
UT
Other
Enumeration date
06/09/2022
Last updated
08/07/2024
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