Individual
DR. JAMES RALPH SMOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-5518
(770) 977-0364
(678) 819-6531
Mailing address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-5518
(770) 977-0364
(678) 819-6531
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN008727
GA
Other
Enumeration date
05/27/2005
Last updated
08/10/2010
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