Individual
DEMARCUS D SMITH IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4420 CONLIN ST, SUITE 203, METAIRIE, LA 70006
(504) 455-9960
(504) 455-9961
Mailing address
4420 CONLIN ST, SUITE 203, METAIRIE, LA 70006
(504) 455-9960
(504) 455-9961
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
3596
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1835960
—
LA
Enumeration date
09/09/2006
Last updated
07/08/2007
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