Individual
FREDERIC W SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
1403 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-7208
(318) 443-0046
Mailing address
1403 PETERMAN DR, ALEXANDRIA, LA 71301-3433
(318) 443-7208
(318) 443-0046
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
23648
TX
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6461
LA
Other
Enumeration date
05/17/2008
Last updated
05/13/2016
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