Individual
DR. WARD MARTIN SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MSD
Contact information
Practice address
21701 76TH AVE W, SUITE 204, EDMONDS, WA 98026-7536
(425) 775-1045
Mailing address
10509 235TH PL SW, EDMONDS, WA 98020-5732
(206) 948-0282
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
DE 00004985
WA
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DE 00004985
WA
Other
Enumeration date
01/12/2010
Last updated
01/12/2010
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