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Individual

PROF. DENISE D SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1754 TOWNSHIP ROAD 174, BALTIC, OH 43804-9625
(330) 204-2401
Mailing address
1754 TOWNSHIP ROAD 174, BALTIC, OH 43804-9625
(330) 204-2401

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
RK022750
NM
172A00000X
Driver
Primary

Other

Enumeration date
03/18/2024
Last updated
03/19/2024
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