Individual
DAVID SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D
Contact information
Practice address
6109 56TH TER E, BRADENTON, FL 34203-9753
(941) 962-2260
Mailing address
6109 56TH TER E, BRADENTON, FL 34203-9753
(941) 962-2260
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN 21862
FL
Other
Enumeration date
06/04/2016
Last updated
06/04/2016
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