Individual
MRS. DANIELLE BOATRIGHT SMIDDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
445 STATE ROAD 13 STE 22, JACKSONVILLE, FL 32259-2821
(904) 209-6590
Mailing address
205 CAROLINA JASMINE LN, SAINT JOHNS, FL 32259-4036
(863) 397-0592
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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