Individual
EDWARD TERRY SMITH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 HARLLEE PL, MARION, SC 29571-3021
(843) 423-1044
(843) 423-1582
Mailing address
PO BOX 913, MARION, SC 29571
(843) 423-1044
(843) 423-1582
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
3081
SC
Other
Enumeration date
03/27/2006
Last updated
09/08/2015
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