Organization
BOBBY SMITH PROFESSIONAL CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BOBBY LAWRENCE SMITH (OWNER)
(909) 854-4900
Entity
Organization
Contact information
Practice address
8832 SIERRA AVE, FONTANA, CA 92335-8649
(909) 854-4900
(909) 854-4996
Mailing address
8832 SIERRA AVE, FONTANA, CA 92335-8649
(909) 854-4900
(909) 854-4996
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
DC25275
CA
Other
Enumeration date
04/10/2013
Last updated
04/10/2013
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