DR. Raymond Gibson Smith JR., DDS

NPI #1538248778 in Petersburg, Virginia

Provider Information

NPI Number: 1538248778
Entity Type: Individual
Name: DR. Raymond Gibson Smith JR., DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist - General Practice
Credential: DDS
Enumeration Date: Nov 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: SEVENTH AVENUE
Address 2: HIRAM DAVIS MEDICAL CENTER
City: Petersburg
State: Virginia
ZIP Code: 23803
Phone: (804) 524-7257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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