Individual
NICOLE LILIA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1120 15TH ST # GC5114, AUGUSTA, GA 30912-0004
(706) 721-2371
Mailing address
790 OAK TRAIL DR, MARIETTA, GA 30062-7502
(404) 988-7764
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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