NPI | 1336469725 |
---|---|
Professional Name | MEGHAN MARIE SMITH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 122300000X Dentist (Licence: ND 2247) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: WI 6512) |
Enumeration Date | 2010-06-08 |
Last Update Date | 2015-07-30 |