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Individual

DR. NICOLE ALEXANDRA SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DMD

Contact information

Practice address
1615 TRUEMPER ST, LACKLAND AFB, TX 78236-5511
(210) 292-0123
Mailing address
1615 TRUEMPER ST, LACKLAND AFB, TX 78236-5511
(210) 292-0123

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
019.027690
IL
1223P0700X
Prosthodontics
Primary
019.027690
IL

Other

Enumeration date
06/24/2008
Last updated
05/29/2025
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