Individual
JOHN DAVID SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DR
Contact information
Practice address
12832 NW CENTRAL AVE, BRISTOL, FL 32424
(850) 643-2415
(850) 643-5689
Mailing address
834 PLANTATION DR, PANAMA CITY, FL 32404-8629
(850) 785-4522
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
LN3799
AL
Other
Enumeration date
09/02/2005
Last updated
07/08/2007
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