Individual
DAVID R SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOS
Contact information
Practice address
135 3RD ST NE, PERHAM, MN 56573-1818
(218) 346-7700
(218) 346-5230
Mailing address
135 3RD ST NE, PERHAM, MN 56573-1818
(218) 346-7700
(218) 346-5230
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10766
MN
Other
Enumeration date
09/25/2006
Last updated
07/08/2007
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