Individual
DR. CRYSTAL JO SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
BLDG 38801 ACADEMIC DR, SUITE B & C, FT GORDON, GA 30905-5660
(706) 787-6927
Mailing address
805 WOODBERRY DR, EVANS, GA 30809-4456
(816) 506-8432
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
2675
NM
Other
Enumeration date
12/22/2005
Last updated
08/12/2019
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