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Individual

DR. MARK STEVEN SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
24650 VAN DYKE AVE, CENTER LINE, MI 48015-1321
(586) 757-2136
(586) 757-7332
Mailing address
24650 VAN DYKE AVE, CENTER LINE, MI 48015-1321
(586) 757-2136
(586) 757-7332

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12325
MI

Other

Enumeration date
05/03/2006
Last updated
07/08/2007
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