Individual
DR. RODERICK DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
101 STANDARD WAREHOUSE RD, LUGOFF, SC 29078-9670
(803) 438-3449
Mailing address
20 OLD FARM RD, LUGOFF, SC 29078-9376
(803) 438-2840
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2686
SC
Other
Enumeration date
04/23/2007
Last updated
07/08/2007
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