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Organization

JONATHAN D SMITH, DC, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JONATHAN SMITH D.C. (CEO/PRESIDENT)
(703) 777-1234
Entity
Organization

Contact information

Practice address
44121 HARRY BYRD HWY, SUITE 120, ASHBURN, VA 20147-5667
(703) 777-1234
(571) 918-0760
Mailing address
44121 HARRY BYRD HWY, SUITE 120, ASHBURN, VA 20147-5667
(703) 777-1234
(571) 918-0760

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556478
VA

Other

Enumeration date
02/02/2009
Last updated
02/02/2009
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