Individual
GREGG LESLIE SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1301 MAIN ST, ASBURY PARK, NJ 07712-5359
(732) 502-5161
(732) 774-0313
Mailing address
86 ELSIE DR, PLAINSBORO, NJ 08536-1929
(609) 275-5442
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
22DIO1550100
NJ
Other
Enumeration date
03/05/2007
Last updated
11/28/2016
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