John David Smith, DR

NPI #1679567796 in Bristol, Florida

Provider Information

NPI Number: 1679567796
Entity Type: Individual
Name: John David Smith, DR
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Dentist
Credential: DR
Enumeration Date: Sep 2, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 12832 NW CENTRAL AVE
City: Bristol
State: Florida
ZIP Code: 32424
Phone: (850) 643-2415

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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