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Individual

DR. DUSTIN WADE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPM

Contact information

Practice address
359 N CYPRESS ST STE 102, GILMER, TX 75644-2348
(903) 300-0661
(903) 707-8906
Mailing address
359 N CYPRESS ST STE 102, GILMER, TX 75644-2348
(903) 300-0661
(903) 707-8906

Taxonomy

Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
1717
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1164468344
SCOTT AND WHITE
TX
Enumeration date
06/22/2006
Last updated
11/01/2023
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