Individual
CRAIG SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3370 BAYCHESTER AVE, BRONX, NY 10475-1565
(718) 671-2826
Mailing address
484 N COUNTRY RD, MILLER PLACE, NY 11764-2707
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
051599-1
NY
Other
Enumeration date
05/09/2007
Last updated
07/08/2007
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