Individual
MONIQUA ANN SMILEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
USA DENTAL HEALTH ACTIVITY, 652 HAMILTON RD, FORT SILL, OK 73501
(580) 442-3905
Mailing address
USA DENTAL HEALTH ACTIVITY, 652 HAMILTON RD, FORT SILL, OK 73501
(580) 442-3905
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
2792
OK
Other
Enumeration date
07/08/2019
Last updated
07/08/2019
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