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Individual

DR. THOMAS BRADLEY SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
2216 OCEANFOREST DR W, ATLANTIC BEACH, FL 32233-4568
(904) 372-0155
Mailing address
2216 OCEANFOREST DR W, ATLANTIC BEACH, FL 32233-4568
(904) 372-0155

Taxonomy

Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
Primary
4951
NC

Other

Enumeration date
10/06/2006
Last updated
02/24/2011
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