Individual
DR. DYLAN DAVIS SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1921 STONECIPHER DR, ADA, OK 74820-3439
(580) 495-8322
Mailing address
825 S MISSISSIPPI AVE APT B, ADA, OK 74820-7858
(918) 706-5794
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/29/2019
Last updated
07/29/2019
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