Individual
DR. THEODORE RHODES SMITH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4221 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-1207
(757) 486-3919
(757) 486-8792
Mailing address
4221 VIRGINIA BEACH BLVD, VIRGINIA BEACH, VA 23452-1207
(757) 486-3919
(757) 486-8792
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003897
VA
Other
Enumeration date
04/24/2008
Last updated
04/24/2008
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