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Individual

ANGELA JO SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
228 E HOSPITAL RD, FORT GORDON, GA 30905-6011
(706) 787-2283
Mailing address
228 E HOSPITAL RD, FORT GORDON, GA 30905-6011
(706) 787-2283

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH009501
GA

Other

Enumeration date
10/29/2021
Last updated
10/29/2021
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