Individual
DR. MARITA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
5C MEDICAL PARK DRIVE, POMONA, NY 10970
(845) 364-9400
Mailing address
5C MEDICAL PARK DRIVE, POMONA, NY 10970
(845) 364-9400
(845) 364-0284
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
056224
NY
1223P0221X
Pediatric Dentistry
22DI02486600
NJ
Other
Enumeration date
05/10/2012
Last updated
05/12/2015
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