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Individual

DR. CRAIG LOT SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
2501 N PEARL ST, TACOMA, WA 98406-2540
(206) 940-4456
Mailing address
2501 N PEARL ST, TACOMA, WA 98406-2540
(206) 940-4456

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE60174659
WA
1223G0001X
General Practice Dentistry
DR60171701
WA

Other

Enumeration date
07/01/2010
Last updated
01/26/2012
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