Individual
DANIEL WAYNE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(614) 565-1823
Mailing address
1923 MARSHA SHARP FWY, LUBBOCK, TX 79415-4036
(614) 565-1823
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
30.024480
OH
1223G0001X
General Practice Dentistry
Primary
33613
TX
Other
Enumeration date
07/14/2015
Last updated
03/17/2018
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