Individual
ANNA-JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
504 BARNES BLVD, JOINT BASE LEWIS MCCHORD, WA 98438-1304
(253) 201-4535
Mailing address
1082 ROSS AVE, DUPONT, WA 98327-9753
(571) 405-0866
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
61401456
WA
Other
Enumeration date
07/11/2023
Last updated
03/22/2024
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