# S TCHON & DA SMITH DDS MD INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861882086
- **Authorized official:** DAVID ALLAN SMITH DDS, MD (CFO)
- **Authorized official phone:** (760) 724-8891

## Contact information

- **Practice address:** 145 CEDAR RD, STE B, VISTA, CA 92083-5103
- **Practice address phone:** (760) 724-8891
- **Practice address fax:** (760) 724-7950
- **Mailing address:** 145 CEDAR RD, STE B, VISTA, CA 92083-5103
- **Mailing address phone:** (760) 724-8891
- **Mailing address fax:** (760) 724-7950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | 63419 | CA | Yes |

## Other

- **Enumeration date:** 01/26/2015
- **Last updated:** 01/26/2015