Individual
MR. DEWAYNE RUSH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
8604 112TH ST E, PUYALLUP, WA 98373-3857
(253) 845-0558
(253) 841-0980
Mailing address
11130 JOLLEYVILLE ROAD, SUITE 1500, AUSTIN, TX 78759
(512) 346-8424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6708
WA
Other
Enumeration date
08/14/2006
Last updated
11/03/2010
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