MICKEY DEAN SMITH

CLARKSTON, WA
NPI1487170999
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy124Q00000X Dental Hygienist
(Licence: WA  60778846)
Enumeration Date2017-08-16
Last Update Date2022-07-21
Business Address
MICKEY DEAN SMITH RDH
844 6TH ST
CLARKSTON, WA 99403-2013
Phone number: 208-848-8308
Mailing Address
MICKEY DEAN SMITH RDH
844 6TH ST
CLARKSTON, WA 99403-2013
Phone number: 208-848-8308