Individual
LOUIS RONALD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
42707 N RIDGE RD, ELYRIA, OH 44035-1054
(440) 444-0379
(440) 654-2778
Mailing address
42707 N RIDGE RD, ELYRIA, OH 44035-1054
(440) 444-0379
(440) 654-2778
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
15214
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2203538
—
OH
Enumeration date
12/02/2005
Last updated
06/02/2015
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