Individual
DR. MARK WALLACE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7650 EAST STATE ROAD 252, EDINBURGH, IN 46124
(812) 526-2026
(812) 526-2844
Mailing address
7650 EAST STATE ROAD 252, EDINBURGH, IN 46124
(812) 526-2026
(812) 526-2844
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7415
IN
Other
Enumeration date
12/26/2006
Last updated
07/08/2007
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