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Individual

DR. ALAN D SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
577 STERNBERG AVE, US ARMY DENTAL ACTIVITY, FORT EUSTIS, VA 23604-5311
(757) 314-7944
(757) 314-7942
Mailing address
577 STERNBERG AVE, HEADQUARTERS US ARMY DENTAL ACTIVITY CREDENTIALS OFFICE, FORT EUSTIS, VA 23604-5311
(757) 314-7944
(757) 314-7942

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
15657
MA

Other

Enumeration date
05/05/2006
Last updated
09/05/2007
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