Organization
BAKER COLLEGE OF PORT HURON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID P SMITH DDS (SUPERVISING DENTIST)
(810) 985-3729
Entity
Organization
Contact information
Practice address
3403 LAPEER ROAD, PORT HURON, MI 48060-2597
(810) 985-3729
(810) 985-7066
Mailing address
3403 LAPEER ROAD, PORT HURON, MI 48060-2597
(810) 985-3729
(810) 985-7066
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
015451
MI
Other
Enumeration date
04/03/2007
Last updated
08/22/2020
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