Individual
DR. NICHOLAS A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2074 S 6TH ST, KLAMATH FALLS, OR 97601-3372
(541) 880-2090
(541) 880-2092
Mailing address
202 SOUTHSHORE LN, KLAMATH FALLS, OR 97601-9111
(971) 678-4741
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D9464
OR
Other
Enumeration date
08/09/2010
Last updated
12/10/2012
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