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Individual

MR. GRANT ANDREW SMITH

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
L.D.

Contact information

Practice address
2743 RIVER RD, EUGENE, OR 97404-2047
(541) 688-7744
Mailing address
PO BOX 41572, 2743 RIVER ROAD, EUGENE, OR 97404-0380
(541) 688-7744

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-636454
OR

Other

Enumeration date
09/12/2005
Last updated
07/08/2007
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