Individual
DR. CRAIG SMOLDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
3860 TEAYS VALLEY RD, SUITE 5, HURRICANE, WV 25526-9772
(304) 757-1000
Mailing address
3860 TEAYS VALLEY RD, SUITE 5, HURRICANE, WV 25526-9772
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
3499
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4005034-000
—
WV
Enumeration date
01/11/2007
Last updated
07/08/2007
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