Organization
PAUL D SMITH D.D.S., S.C. DBA JACKSON PARK FAMILY DENTAL
Active
Other names
Paul Smith DDS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL SMITH (PRACTICE PARTNER)
(414) 645-0365
Entity
Organization
Contact information
Practice address
3520 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4175
(414) 645-0365
Mailing address
3520 W OKLAHOMA AVE, MILWAUKEE, WI 53215-4175
(414) 645-0365
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
10/06/2021
Last updated
04/18/2023
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