Gary Alfred Smith D.D.S.

NPI 1063441384 - Dentist - 1223G0001X

NPI Details
NPI 1063441384
Gender Male
Enumeration Date 06/30/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
2612 W BROADWAY
COUNCIL BLUFFS IA, 51501-3510, US
Phone (712) 323-3615
Fax (712) 325-6155
Business Location
2612 W BROADWAY
COUNCIL BLUFFS IA, 51501-3510, US
Phone (712) 323-3615
Fax (712) 325-6155
Toxanomy
Taxonomy Code 1223G0001X
License State Iowa
License Number 6699
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According to our database, Dr. Gary Alfred Smith D.D.S. NPI is 1063441384, taxonomy code is 1223G0001X and license number is 6699, license state is located at Iowa. Gary Alfred Smith D.D.S. physically located at 2612 W Broadway, Council Bluffs IA, 51501-3510. NPI Number Gary Alfred Smith D.D.S. has the Individual type.

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1063441384 NPI number is provided on an as is basis without warranty of any kind. 1063441384 is maintained by the National Plan & Provider Enumeration System. The contents of Gary Alfred Smith D.D.S. are for informational purposes only.