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Individual

JENNA MARIE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RDH

Contact information

Practice address
N15019 HANNAHVILLE B-1 RD, WILSON, MI 49896-4989
(906) 723-2508
Mailing address
N15019 HANNAHVILLE B-1 RD, WILSON, MI 49896
(906) 723-2508

Taxonomy

Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2902016618
MI

Other

Enumeration date
09/23/2021
Last updated
09/23/2021
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