Individual
DR. MARY-OUIDA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
505 COWAN RD, GULFPORT, MS 39507-2024
(901) 414-8183
Mailing address
488 THORNBUCK CV, COLLIERVILLE, TN 38017-8217
(901) 414-8183
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8351
TN
Other
Enumeration date
10/21/2009
Last updated
01/15/2025
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