Individual
DARYL EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
376 NEW BERLIN RD, SUITE 1, JACKSONVILLE, FL 32218
(904) 696-3336
(904) 696-3970
Mailing address
376 NEW BERLIN RD, SUITE 1, JACKSONVILLE, FL 32218
(904) 696-3336
(904) 696-3970
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DN0013001
FL
122300000X
Dentist
Primary
DN13001
FL
Other
Enumeration date
08/30/2006
Last updated
07/08/2007
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