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DR. PATRICIA MARY SMITH D.M.D.

Pediatric Dentistry

Newark, Delaware

Provider NPI: 1689751265

Provider Information:
DR. PATRICIA MARY SMITH D.M.D.
Gender: F
Not Sole Proprietor

Practice Location:
38 PEOPLES PLZ  NEWARK, DE 19702 US
Tel: 302-834-4000  Fax: --

Business Mailing Address:
40 WATERVIEW DR  PILESGROVE, NJ 08098 US
Tel: 856-769-3077  Fax: --

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1223P0221XDental Providers
Dentist
Pediatric Dentistry
DEG1-0001135
N1223P0221XDental Providers
Dentist
PADS029356L
N1223P0221XDental Providers
Dentist
NJDI 01930700

Other Provider Identifiers:

IssuerNumberStateType
0001084108DE05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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