Individual
THERESA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
230 NESHAMINY MALL, BENSALEM, PA 19020-1600
(215) 355-2300
Mailing address
230 NESHAMINY MALL, BENSALEM, PA 19020-1600
(215) 355-2300
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
DS030610L
PA
Other
Enumeration date
12/14/2006
Last updated
07/08/2007
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