Individual
DR. IAN ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
691 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 714-3883
(570) 718-6668
Mailing address
691 WYOMING AVE, KINGSTON, PA 18704-3831
(570) 714-3883
(570) 718-6668
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS035221
PA
Other
Enumeration date
07/27/2006
Last updated
07/08/2007
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