Organization
SMILEY FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN SMILEY D.M.D (DENTIST)
(217) 474-4385
Entity
Organization
Contact information
Practice address
108 2ND ST NW, WAVERLY, IA 50677-2619
(217) 474-4385
Mailing address
108 2ND ST NW, WAVERLY, IA 50677-2619
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DDS09137
IA
Other
Enumeration date
10/06/2014
Last updated
10/06/2014
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