Individual
GEORGIA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.D.S.
Contact information
Practice address
840 ROOSEVELT TRL, WINDHAM, ME 04062-5375
(207) 894-5580
Mailing address
840 ROOSEVELT TRL, WINDHAM, ME 04062-5375
(207) 894-5580
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DEN4493
ME
Other
Enumeration date
07/29/2016
Last updated
07/29/2016
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