Individual
DR. ROBERT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
114 ALTAMA CONNECTOR, BRUNSWICK, GA 31525-1891
(912) 262-6688
(912) 264-2409
Mailing address
114 ALTAMA CONNECTOR, BRUNSWICK, GA 31525-1891
(912) 262-6688
(912) 264-2409
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN007106
GA
Other
Enumeration date
10/25/2006
Last updated
10/18/2012
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