| NPI | 1962678425 |
|---|---|
| Other Name | JERRY A SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN010244) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2022-04-14 |