Individual
DR. GREGORY JAMES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1651 NORTH DALE STREET, ST. PAUL, MN 55117
(651) 488-5888
(651) 488-8425
Mailing address
1651 NORTH DALE STREET, ST. PAUL, MN 55117
(651) 488-5888
(651) 488-8425
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9117
MN
1223G0001X
General Practice Dentistry
D9117
MN
Other
Enumeration date
04/18/2006
Last updated
08/26/2009
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