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Individual

CHRISTOPHER BRUCE SMILEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
9401 COURTHOUSE RD, SUITE 306, CHESTERFIELD, VA 23832-6690
(804) 748-9211
(804) 768-4708
Mailing address
9401 COURTHOUSE RD, SUITE 306, CHESTERFIELD, VA 23832-6690
(804) 748-9211
(804) 768-4708

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401007836
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
112347
BLUE CROSS BLUE SHEILD
VA
01
903135
UNITED CONCORDIA
VA
Enumeration date
01/23/2007
Last updated
07/08/2007
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