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Individual
DR. MARK G SMITH
Active
Individual
DR. MARK G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
0401006438
VA
1223G0001X
General Practice Dentistry
Primary
10978
SC
Other
Enumeration date
03/17/2010
Last updated
12/30/2024
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