NPI | 1376648394 |
---|---|
Professional Name | G RICHARD SMITH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: OH 12117) |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-07-08 |