Organization
SMITH DENTAL CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRENT D SMITH DDS (DENTIST)
(620) 285-6531
Entity
Organization
Contact information
Practice address
706 FT LARNEL AVE, LARNEL, KS 67550
(620) 285-6531
(620) 285-6573
Mailing address
PO BOX 36, LARNEL, KS 67550
(620) 285-6531
(620) 285-6573
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
04/24/2006
Last updated
08/22/2020
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