Organization
SHELBY J. SMITH, DDS, MS, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHELBY J SMITH DDS, MS (PRESIDENT)
(925) 755-5115
Entity
Organization
Contact information
Practice address
2213 BUCHANAN RD STE 112, ANTIOCH, CA 94509-4265
(925) 755-5115
(925) 755-5003
Mailing address
2213 BUCHANAN RD STE 112, ANTIOCH, CA 94509-4265
(925) 755-5115
(925) 755-5003
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
38482
CA
Other
Enumeration date
06/16/2008
Last updated
06/16/2008
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