Individual
DR. VINCENT SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
6925 WILLOW STREET, B-106, WASHINGTON, DC 20012
(202) 723-8284
(202) 882-1127
Mailing address
6925 WILLOW ST NW, B-106, WASHINGTON, DC 20012-2000
(202) 723-8284
(202) 882-1127
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
1000836
DC
122300000X
Dentist
14260
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05301900
—
DC
Enumeration date
07/08/2005
Last updated
02/28/2017
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