Individual
MARK ALLEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7559 HIGHLAND ROAD, M59, WATERFORD, MI 48327-1405
(248) 666-9220
Mailing address
7559 HIGHLAND ROAD, M59, WATERFORD, MI 48327-1405
(248) 666-9220
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2901014142
MI
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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