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Organization

SMITH PEDIATRIC DENTISTRY, INC.

Active
Other names
Pediatric Dentistry, Inc.
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN MICHAEL SMITH DDS (PRESIDENT)
(440) 888-6300
Entity
Organization

Contact information

Practice address
15380 E BAGLEY RD, MIDDLEBURG HTS., OH 44130
(440) 888-6300
(440) 888-6329
Mailing address
15380 E BAGLEY RD, MIDDLEBURG HTS., OH 44130
(440) 888-6300
(440) 888-6329

Taxonomy

Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary

Other

Enumeration date
09/17/2008
Last updated
09/17/2008
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