Individual
DR. DAVID ROBERT SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1730 W SNELL RD, OSHKOSH, WI 54901-1140
(920) 231-4010
Mailing address
1730 W SNELL RD, PO BOX 3530, OSHKOSH, WI 54901-1140
(920) 230-6461
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6071-015
WI
Other
Enumeration date
10/16/2009
Last updated
10/16/2009
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