Individual
ALICIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3986 N OCEANA DR, HART, MI 49420-8358
(231) 674-5218
Mailing address
1153 SPICE BUSH DR SE, ADA, MI 49301-9444
(616) 481-0503
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902015576
MI
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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