Individual
DR. JUDSON CHARLES SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2323 N MAYFAIR RD STE 102, MILWAUKEE, WI 53226
(414) 257-1161
(414) 257-0194
Mailing address
2323 N MAYFAIR RD STE 102, MILWAUKEE, WI 53226-1506
(414) 257-1161
(414) 257-0194
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
1001751-015
WI
Other
Enumeration date
07/01/2014
Last updated
08/03/2018
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