Individual
DR. JARED M. SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
618 MAIN ST, CANON CITY, CO 81212-3737
(719) 275-0661
Mailing address
278 EAGLE DR E, CANON CITY, CO 81212-9649
(719) 269-8917
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8457
CO
Other
Enumeration date
03/28/2006
Last updated
01/10/2008
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