MICHAEL SHANE SMITH

DALTON, GA
NPI1992916175
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: GA  DN013493)
Additional Taxonomies122300000X Dentist
(Licence: TN  DS 7804)
Enumeration Date2007-05-27
Last Update Date2007-07-08
Business Address
Dr. MICHAEL SHANE SMITH D.D.S.
1202 CLEO WAY STE 3
DALTON, GA 30720-8356
Phone number: 804-828-6498
Mailing Address
Dr. MICHAEL SHANE SMITH D.D.S.
512 SCOTTER HILLS LN
MIDLOTHIAN, VA 23114-5541
Phone number: 804-828-6498
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