Madison Smith

NPI #1164112546 in Salt Lake City, Utah

Provider Information

NPI Number: 1164112546
Entity Type: Individual
Name: Madison Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dental Assistant
Enumeration Date: May 10, 2023
Last Updated: May 10, 2023

Practice Location

Address: 500 FOOTHILL DR
City: Salt Lake City
State: Utah
ZIP Code: 84148-0001
Phone: (801) 582-1565

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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