NPI 1639783053

Ericka Renee Smith, DA

Practitioner Dental Assistant Holloman Afb, NM

Practice location

Address: 280 1st St, Holloman Afb, NM 88330-8273
Phone: (575) 572-3742
Fax: (575) 572-7634

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence DA3160 (NM)

Other Dental Assistant providers in New Mexico →

Registry record

NPI: 1639783053
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Sep 2020
Record last updated: 2 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.