| NPI | 1003019829 |
|---|---|
| Other Name | MARY ELIZABETH SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223P0700X Dentist, Prosthodontics (Licence: MD 16909) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: MD 16909) |
| 124Q00000X Dental Hygienist (Licence: NY 023867-1) | |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2023-08-14 |