Individual
DR. ANDREW SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S,.
Contact information
Practice address
1314 S 6TH ST, LOS BANOS, CA 93635-4729
(209) 827-9226
Mailing address
1314 S 6TH ST, LOS BANOS, CA 93635-4729
(209) 827-9226
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
42233
CA
Other
Enumeration date
10/28/2014
Last updated
10/28/2014
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