Individual
MS. LEASHA LYNN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3327 W CAPITAL AVE, GRAND ISLAND, NE 68803-1334
(308) 382-4297
Mailing address
1003 W 3RD ST, GRAND ISLAND, NE 68801-5831
(308) 382-0110
(308) 382-8504
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2871
NE
Other
Enumeration date
11/15/2018
Last updated
03/18/2019
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