Organization
LOGAN C SMITH DDS PLLC
Active
Other names
Smith Dental Team
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOGAN CONRAD SMITH DDS (OWNER DENTIST)
(616) 855-0005
Entity
Organization
Contact information
Practice address
7706 GEORGETOWN CENTER DR STE A, JENISON, MI 49428-7145
(616) 855-0005
(616) 855-0048
Mailing address
7706 GEORGETOWN CENTER DR STE A, JENISON, MI 49428-7145
(616) 855-0005
(616) 855-0048
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/21/2020
Last updated
02/21/2020
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