Organization
RONALD C. SMITH, DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD CRAIG SMITH D.D.S. (OWNER)
15152332174
Entity
Organization
Contact information
Practice address
1212 DUFF AVE, AMES, IA 50010-5467
(151) 523-3217
(515) 233-0351
Mailing address
1212 DUFF AVE, AMES, IA 50010-5467
(151) 523-3217
(515) 233-0351
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
05652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0108878
—
IA
Enumeration date
05/15/2008
Last updated
05/15/2008
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