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Individual
DR. MICHAEL SMITH
Active
Individual
DR. MICHAEL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
111198
CA
122300000X
Dentist
2020021103
MO
Other
Enumeration date
07/17/2020
Last updated
06/18/2025
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