| NPI | 1700041639 |
|---|---|
| Former Name | GIA SHAREE SMITH |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: GA DN013924) |
| Additional Taxonomies | 122300000X Dentist (Licence: TX 25502) |
| 1223P0221X Dentist, Pediatric Dentistry (Licence: TX 25502) | |
| Enumeration Date | 2008-07-21 |
| Last Update Date | 2016-08-23 |