Individual
CHRISTOPHER JASON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
0401419134
VA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
18388
MD
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS042016
PA
Other
Enumeration date
02/10/2017
Last updated
10/16/2024
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