Individual
JONATHAN JAY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
315 W HASTINGS RD, SPOKANE, WA 99218-2576
(509) 466-2373
(509) 466-4707
Mailing address
315 W HASTINGS RD, SPOKANE, WA 99218-2576
(509) 466-2373
(509) 466-4707
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D4171
ID
1223G0001X
General Practice Dentistry
Primary
DE60311143
WA
Other
Enumeration date
07/05/2006
Last updated
10/23/2012
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