Individual
TRISTEN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4912 W ST JOE HWY, LANSING, MI 48917-4090
(517) 886-9696
Mailing address
4912 W ST JOE HWY, LANSING, MI 48917-4090
(517) 886-9696
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
2901021575
MI
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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