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Individual

DANTE SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3680 E IMPERIAL HWY STE 220, LYNWOOD, CA 90262-2663
(626) 556-0600
Mailing address
3680 E IMPERIAL HWY STE AND240, LYNWOOD, CA 90262-2659
(323) 769-7174

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
373H00000X
Day Training/Habilitation Specialist
Primary
CA

Other

Enumeration date
05/07/2024
Last updated
09/05/2025
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