Individual
MRS. WANDA G SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
829 N JEFFERSON ST, WILMINGTON, DE 19801-1431
(302) 656-2584
(302) 656-2330
Mailing address
4641 SYLVANUS DR, WILMINGTON, DE 19803-4813
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
G10000870
DE
Other
Enumeration date
03/08/2007
Last updated
07/08/2007
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