DR. Ronald Tye Smith SR., DDS

NPI #1760514376 in Provo, Utah

Provider Information

NPI Number
1760514376
Entity Type
Individual
Name
DR. Ronald Tye Smith SR., DDS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
DDS
Enumeration Date
Mar 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
3651 N 100 E STE 175
City
Provo
State
Utah
ZIP Code
84604-4542
Phone
(801) 356-3025

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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