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Individual

DR. NATHAN MERRILL SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
140B PURCELLVILLE GATEWAY DR # 543, PURCELLVILLE, VA 20132-3485
(412) 389-9233
Mailing address
140B PURCELLVILLE GATEWAY DR # 543, PURCELLVILLE, VA 20132-3485
(412) 389-9233

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
30.023261
OH
1223D0004X
Dental Anesthesiology
Primary
0401416242
VA

Other

Enumeration date
06/28/2010
Last updated
12/05/2018
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