Individual
MS. MICHELLE LOUISE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
1201 BROAD ROCK BLVD, RICHMOND, VA 23249-0001
(804) 675-5251
Mailing address
13636 BAYCRAFT TER, MIDLOTHIAN, VA 23112-2166
(804) 301-3837
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
0402004497
VA
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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