Individual
DR. BIANCA BRAXTON SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1501 DIVISION ST, BALTIMORE, MD 21217-3121
(410) 383-8300
Mailing address
9102 BALDRIDGE CT, BALTIMORE, MD 21237-4862
(443) 629-6319
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
11737
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
726730400
—
MD
Enumeration date
10/24/2005
Last updated
10/28/2013
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