Individual
SAMANTHA JANE SMALLMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
410 4TH AVE, MONTGOMERY, WV 25136-2105
(304) 442-2488
Mailing address
1511 VILLAGE DR, SOUTH CHARLESTON, WV 25309-2431
(304) 541-9897
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2857
WV
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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