Individual
MARC RYAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
15901 CENTRAL COMMERCE DR, SUITE 601, PFLUGERVILLE, TX 78660-2041
(512) 989-7855
(512) 989-7859
Mailing address
15901 CENTRAL COMMERCE DR, SUITE 601, PFLUGERVILLE, TX 78660-2041
(512) 989-7855
(512) 989-7859
Taxonomy
Speciality
Code
Description
License number
State
1223P0106X
Oral and Maxillofacial Pathology Dentistry
Primary
19812
TX
Other
Enumeration date
09/28/2006
Last updated
07/08/2007
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