Individual
WILEY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
291 W LAKEWOOD BLVD STE 1, HOLLAND, MI 49424-1969
(616) 396-7502
Mailing address
291 W LAKEWOOD BLVD STE 1, HOLLAND, MI 49424-1969
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901602614
MI
Other
Enumeration date
06/12/2025
Last updated
06/12/2025
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