Individual
DALE JUNIOR SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
305 WIMBLEDON DR APT 6, BRANSON, MO 65616-3864
(904) 809-0395
Mailing address
305 WIMBLEDON DR APT 6, BRANSON, MO 65616-3864
(904) 809-0395
Taxonomy
Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
—
MO
Other
Enumeration date
06/23/2026
Last updated
06/23/2026
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