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1063844835
MATTHEW LAMAR SMITH
JACKSONVILLE, FL
NPI
1063844835
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: TX 29118)
Enumeration Date
2013-08-05
Last Update Date
2013-08-05
Business Address
-- MATTHEW LAMAR SMITH DDS
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY CENTRALIZED CREDENTIALS & PRIVILEGING DIRECTORATE
JACKSONVILLE, FL 32212
Phone number: 757-953-7011
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Mailing Address
-- MATTHEW LAMAR SMITH DDS
554 KEILY STREET, BUREAU OF MEDICINE AND SURGERY CENTRALIZED CREDENTIALS & PRIVILEGING DIRECTORATE
JACKSONVILLE, FL 32212
Phone number: 757-953-7011
Copy
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