Individual
DR. DAVID GLENN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(337) 537-2324
Mailing address
5615 MUDRY CT, FORT POLK, LA 71459-3448
(337) 537-3344
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
15092
TX
Other
Enumeration date
07/10/2006
Last updated
07/08/2007
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