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Individual

DR. STEPHANIE CONSTANCE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
4221 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-1207
(757) 486-3919
(757) 486-8792
Mailing address
4221 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-1207
(757) 486-3919
(757) 486-8792

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401410601
VA

Other

Enumeration date
05/21/2008
Last updated
05/21/2008
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