Individual
DR. CHARLES DOUGLAS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1609 WEST MAIN STREET, STE 202, DOTHAN, AL 36301
(334) 793-1500
(334) 792-9647
Mailing address
1609 WEST MAIN STREET, STE 202, DOTHAN, AL 36301
(334) 793-1500
(334) 792-9647
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3365
AL
Other
Enumeration date
06/22/2007
Last updated
07/08/2007
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