Individual
DR. MICHAEL B. SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
250 MEADOWCREST STREET, STE 100, GRETNA, LA 70056
(504) 392-6057
(504) 391-2429
Mailing address
250 MEADOWCREST STREET, STE 100, GRETNA, LA 70056
(504) 392-6057
(504) 391-2429
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
5356
LA
Other
Enumeration date
07/08/2009
Last updated
03/23/2022
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