Smith, Jaclyn

Smith, Jaclyn is an sole proprietor health care provider with primary practice located at 19173 Santa Barbara Dr , Detroit MI 48221-1624. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Smith, Jaclyn can be contacted via phone (313) 505-6665.

Contact Information

Primary practice address
19173 Santa Barbara Dr Detroit MI 48221-1624
Phone: (313) 505-6665
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902016147 Michigan

Profile Details

NPI number 1942567722
LBN Legal business name Smith, Jaclyn
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2012
Last updated Apr 18th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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