Individual
DR. MATTHEW J SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
14704 DETROIT AVE, LAKEWOOD, OH 44107-4102
(216) 226-1052
(216) 226-5677
Mailing address
14704 DETROIT AVE, LAKEWOOD, OH 44107-4102
(216) 226-1052
(216) 226-5677
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
30-022806
OH
Other
Enumeration date
07/02/2008
Last updated
11/08/2012
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