Wiley Smith

NPI #1740175397 in Holland, Michigan

Provider Information

NPI Number: 1740175397
Entity Type: Individual
Name: Wiley Smith
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist
Enumeration Date: Jun 12, 2025
Last Updated: Jun 12, 2025

Practice Location

Address: 291 W LAKEWOOD BLVD STE 1
City: Holland
State: Michigan
ZIP Code: 49424-1969
Phone: (616) 396-7502

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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