Individual
MICHAEL TODD SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2180 E 4500 S STE 225, SALT LAKE CITY, UT 84117-4029
(801) 278-4431
(801) 278-4436
Mailing address
2180 E 4500 S STE 225, SALT LAKE CITY, UT 84117-4029
(801) 278-4431
(801) 278-4436
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
1552
AK
1223G0001X
General Practice Dentistry
Primary
2463295
UT
Other
Enumeration date
10/11/2006
Last updated
12/10/2015
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