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Organization

DEAN W. SMITH, MD., A MEDICAL CORPORATION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DEANNA S BACON (MANAGER)
(805) 477-9922
Entity
Organization

Contact information

Practice address
2755 LOMA VISTA RD, VENTURA, CA 93003-1544
(805) 477-9922
(805) 477-9937
Mailing address
2755 LOMA VISTA RD, VENTURA, CA 93003-1544
(805) 477-9922

Taxonomy

Speciality
Code
Description
License number
State
207QA0505X
Adult Medicine Physician
Primary

Other

Enumeration date
10/12/2023
Last updated
10/12/2023
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