Individual
JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
314 POWHATTAN AVE, ESSINGTON, PA 19029-1311
(610) 521-3313
Mailing address
314 POWHATTAN AVE, ESSINGTON, PA 19029-1311
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DS25901
PA
Other
Enumeration date
11/05/2007
Last updated
11/05/2007
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