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Individual

MRS. GRETCHEN LEE SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1030 JEFFERSON AVE, MEMPHIS, TN 38104-2127
(901) 523-8990
Mailing address
363 SHELTON RD, COLLIERVILLE, TN 38017-1188
(870) 476-5958

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary

Other

Enumeration date
08/23/2017
Last updated
03/17/2018
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