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Organization

KENT W SMALL, MD A MEDICAL CORPORATION

Active
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Organization

KENT W SMALL, MD A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. KENT W SMALL M.D. (PRESIDENT)
(818) 552-5040
Entity
Organization

Contact information

Practice address
501 NORTH ORANGE STREET, SUITE 250, GLENDALE, CA 91203-1971
(818) 552-5040
(818) 552-5044
Mailing address
501 NORTH ORANGE STREET, SUITE 250, GLENDALE, CA 91203-1971
(818) 552-5040
(818) 552-5044

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—

Other

Enumeration date
03/28/2008
Last updated
11/15/2012
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