Individual
RENEE ANTOINETTE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
60 MDG/SGDTN, 101 BODIN CIR, TRAVIS AFB, CA 94535-1809
(707) 423-7000
Mailing address
60 MDG/SGDTN, 101 BODIN CIR, TRAVIS AFB, CA 94535
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DDS102766
CA
Other
Enumeration date
05/07/2018
Last updated
07/16/2024
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