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Individual

DR. W. ELLIS SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.M.D.

Contact information

Practice address
1328 PEMBERTON DR, SALISBURY, MD 21801-2404
(410) 749-7701
Mailing address
1328 PEMBERTON DR, SALISBURY, MD 21801-2404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5831
MD

Other

Enumeration date
07/24/2006
Last updated
07/08/2007
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