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1427055441
JERRY WAYNE SMITH
TULSA, OK
NPI
1427055441
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223P0221X Dentist, Pediatric Dentistry
(Licence: OK 23196)
Enumeration Date
2005-07-05
Last Update Date
2007-07-08
Business Address
Dr. JERRY WAYNE SMITH D.D.S.
6565 S YALE AVE
TULSA, OK 74136-8305
Phone number: 918-492-1106
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Mailing Address
Dr. JERRY WAYNE SMITH D.D.S.
6565 S YALE AVE
TULSA, OK 74136-8305
Phone number: 918-492-1106
Copy
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