Individual
DR. JOHN ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, PA
Contact information
Practice address
1350 TUSKAWILLA RD, WINTER SPRINGS, FL 32708-5031
(407) 699-1102
(407) 699-4327
Mailing address
1350 TUSKAWILLA RD, WINTER SPRINGS, FL 32708-5031
(407) 699-1102
(407) 699-4327
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
7004
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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