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Individual

SHAHDI KHOSHROU SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
217 N MAIN ST, GREENEVILLE, TN 37745-3815
(423) 639-2911
Mailing address
217 N MAIN ST, GREENEVILLE, TN 37745-3815

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10710
TN
1223G0001X
General Practice Dentistry
Primary
D009745
AZ

Other

Enumeration date
06/03/2017
Last updated
03/03/2026
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