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Individual

DR. JOE T SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S

Contact information

Practice address
5400 NEW COPELAND RD, TYLER, TX 75703-3950
(903) 534-1171
(903) 534-6054
Mailing address
5400 NEW COPELAND RD, TYLER, TX 75703-3950
(903) 534-1171
(903) 534-6054

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23885
TX

Other

Enumeration date
08/24/2011
Last updated
08/24/2011
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