Individual
JESSICA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
9732 MIDLOTHIAN TPKE, RICHMOND, VA 23235-4962
(804) 320-3683
Mailing address
3941 PAULHILL RD, RICHMOND, VA 23236-1232
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412969
VA
Other
Enumeration date
09/14/2010
Last updated
09/14/2010
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