Individual
DR. FREDERIC NEWELL SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., PH.D.
Contact information
Practice address
31636 SCHOOLCRAFT RD, LIVONIA, MI 48150-1819
(734) 522-7373
(734) 522-2303
Mailing address
700 BERKSHIRE RD, ANN ARBOR, MI 48104-2629
(734) 662-1198
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
2901009095
MI
Other
Enumeration date
08/14/2006
Last updated
07/08/2007
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