Individual
DR. HOMER WILLIAM SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
619 SECOND AVENUE, MONTGOMERY, WV 25136-2435
(304) 734-6655
(304) 734-6631
Mailing address
619 SECOND AVENUE, MONTGOMERY, WV 25136-2435
(304) 734-6655
(304) 734-6631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1978
WV
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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