Individual
DR. JACQUELINE RENEE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
306 SW WALNUT ST, ANKENY, IA 50023-3042
(515) 964-0621
Mailing address
5008 NW 15TH ST, ANKENY, IA 50023-6050
(515) 313-1402
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09796
IA
Other
Enumeration date
07/02/2020
Last updated
07/02/2020
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