Individual
AILEEN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
4441 HOFFNER AVE, ORLANDO, FL 32812-2331
(407) 537-0617
Mailing address
PO BOX 781814, ORLANDO, FL 32878-1814
(787) 646-0944
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
20094
FL
Other
Enumeration date
08/09/2005
Last updated
12/03/2018
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