Organization
FREDERIC W. SMITH DMD, MD, LLC
Active
Other names
Three Rivers Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC WARREN SMITH DMD, MD (MANAGING PARTNER)
(541) 276-1061
Entity
Organization
Contact information
Practice address
1100 SOUTHGATE, SUITE 11, PENDLETON, OR 97801-3974
(541) 276-1061
(541) 276-0674
Mailing address
1100 SOUTHGATE, SUITE 11, PENDLETON, OR 97801-3974
(541) 276-1061
(541) 276-0674
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
D 8719
OR
Other
Enumeration date
07/27/2006
Last updated
04/02/2008
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