Individual
DR. BRIAN J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0179
(712) 213-0186
Mailing address
715 W MILWAUKEE AVE, STORM LAKE, IA 50588-1564
(712) 213-0179
(712) 213-0186
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DDS-09051
IA
Other
Enumeration date
11/22/2013
Last updated
11/22/2013
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