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Individual

DR. RYAN J SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
1511 CHRISTY DR, JEFFERSON CITY, MO 65101-2854
(573) 632-2777
Mailing address
4905 HATTERAS DR, COLUMBIA, MO 65202-6454
(314) 229-4225

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2019022749
MO

Other

Enumeration date
06/22/2019
Last updated
06/22/2019
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