Individual
MRS. CHERYL ANN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH-EP
Contact information
Practice address
1200 MIRA MAR AVE, MEDFORD, OR 97504-8546
(541) 282-4014
(866) 775-1369
Mailing address
711 MEDFORD CTR # 392, MEDFORD, OR 97504-6772
(541) 282-4014
(866) 775-1369
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H5368
OR
Other
Enumeration date
05/27/2011
Last updated
03/09/2015
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