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Individual

DR. EMILIE A SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.D.S.

Contact information

Practice address
320 SUNSET AVE, MANHATTAN, KS 66502-3701
(630) 862-6659
(785) 370-8007
Mailing address
320 SUNSET AVE, MANHATTAN, KS 66502-3701
(630) 862-6659
(785) 370-8007

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
2014043200
MO
122300000X
Dentist
Primary
60912
KS
1223G0001X
General Practice Dentistry
60912
KS

Other

Enumeration date
04/12/2012
Last updated
06/02/2021
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