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Individual
DR. DAISY SMART
Active
Individual
DR. DAISY SMART
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
1325
AK
122300000X
Dentist
54622
CA
122300000X
Dentist
CSDT 83
HI
1223G0001X
General Practice Dentistry
Primary
DS11935
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002836
—
AK
05
—
786543
—
HI
Enumeration date
01/05/2007
Last updated
06/29/2023
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