Individual
DEMMI SMALLWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
390 INDUSTRIAL PARK RD, MAXWELTON, WV 24957-8073
(681) 318-3611
Mailing address
PO BOX 598, CRAIGSVILLE, WV 26205-0598
(304) 516-2841
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
3510
WV
Other
Enumeration date
09/07/2023
Last updated
09/07/2023
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