Individual
MS. GLORIA J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
817 W HIGH ST, JACKSON, MI 49203-2986
(517) 784-9385
(517) 787-0852
Mailing address
PO BOX 548, JACKSON, MI 49204-0548
(517) 784-3950
(517) 783-2728
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901012342
MI
Other
Enumeration date
12/08/2010
Last updated
12/08/2010
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