Individual
ELIZABETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
Mailing address
201 PROVIDENCE RD, CHARLOTTE, NC 28207-1417
(704) 376-6470
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9729
NC
Other
Enumeration date
07/15/2014
Last updated
07/15/2014
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