Individual
MR. LARRY JOHN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.B.O.
Contact information
Practice address
351 HOSPITAL RD STE 100, NEWPORT BEACH, CA 92663-3503
(949) 645-2020
(949) 645-3311
Mailing address
351 HOSPITAL RD STE 100, NEWPORT BEACH, CA 92663-3503
(949) 645-2020
(949) 645-3311
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DL284
CA
Other
Enumeration date
05/16/2007
Last updated
03/10/2008
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