Individual
DR. DALLAS EDWARD SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4929 VAN NUYS BLVD, SHERMAN OAKS, CA 91403-1702
(818) 907-4570
(818) 907-2814
Mailing address
PO BOX 60041, ARCADIA, CA 91066-6041
(626) 447-0296
(626) 447-6057
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
G74769
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00G747690
—
CA
Enumeration date
06/12/2006
Last updated
06/13/2008
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