Individual
DR. TERRENCE MATTHEW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
815 LOGAN BLVD, ALTOONA, PA 16602-4141
(814) 943-7786
Mailing address
815 LOGAN BLVD, ALTOONA, PA 16602-4141
(814) 943-7786
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DS028699R
PA
Other
Enumeration date
04/02/2007
Last updated
07/08/2007
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