Individual
DR. ASHLEY EARLDANIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3700 LARGENT WAY NW, MARIETTA, GA 30064-1670
(770) 439-5101
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DN014501
GA
Other
Enumeration date
04/12/2012
Last updated
02/27/2015
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