Individual
DR. ANDRE R SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
620 JOHN PAUL JONES CIR, PORTSMOUTH, VA 23708-2111
(954) 849-3174
Mailing address
7828 SILVERADO CT, HOLLYWOOD, FL 33024-8374
(954) 849-3174
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
DN24303
FL
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN24303
FL
Other
Enumeration date
06/20/2019
Last updated
06/11/2024
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