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Individual
DWIGHT SMITH
Active
Individual
DWIGHT SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
C37854
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C378540
—
CA
01
—
WC37854A
MEDICARE RENDERING NUMBER
CA
Enumeration date
02/17/2007
Last updated
02/15/2012
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