Individual
SAFIYA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MPH
Contact information
Practice address
4461 SHERIDAN ST, HOLLYWOOD, FL 33021-3513
(888) 700-6623
Mailing address
4461 SHERIDAN ST, HOLLYWOOD, FL 33021-3513
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN21778
FL
1223P0221X
Pediatric Dentistry
Primary
DN21778
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
017481900
—
FL
Enumeration date
03/09/2015
Last updated
02/10/2017
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