NPI | 1144386251 |
---|---|
Former Legal Business Name | DR. PHILIP E. SMITH, DMD, PA |
Entity Type | Organization |
Authorized Contact | PHILIP EDWIN SMITH President 803-359-9991 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: SC SC 1830) |
Enumeration Date | 2007-01-01 |
Last Update Date | 2020-08-22 |