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Individual

DR. JOSHUA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
(616) 531-7480
Mailing address
3050 IVANREST AVE SW, GRANDVILLE, MI 49418-1400
(616) 531-7480

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
L1176765
MI

Other

Enumeration date
05/12/2008
Last updated
05/12/2008
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