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Organization
SMITH FAMILY DENTAL
Active
Organization
SMITH FAMILY DENTAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN JAY SMITH DDS (DENTIST- OWNER)
(509) 466-2373
Entity
Organization
Contact information
Practice address
315 W HASTINGS RD, SPOKANE, WA 99218-2576
(509) 466-2373
(509) 466-4707
Mailing address
315 W HASTINGS RD, SPOKANE, WA 99218-2576
(509) 466-2373
(509) 466-4707
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
04171
ID
261QD0000X
Dental Clinic/Center
Primary
DE60311143
WA
Other
Enumeration date
12/03/2010
Last updated
10/08/2012
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