Individual
DR. COLIN TOLLERTON SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
13051 S HWY 71, GRANDVIEW, MO 64030
(816) 425-2446
Mailing address
24189 ERMINE DR, LINNEUS, MO 64653-9215
(816) 392-5077
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2012019399
MO
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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