Organization
LARRY V SMITH DDS INC
Active
Other names
Pacific Pediatric Dentistry
Organization subpart
No
Provider details
NPI number
Authorized official
LARRY V SMITH DDS MPH (DENTIST)
(805) 544-3434
Entity
Organization
Contact information
Practice address
1231 OSOS ST, SAN LUIS OBISPO, CA 93401
(805) 544-3434
(805) 544-3443
Mailing address
1231 OSOS ST, SAN LUIS OBISPO, CA 93401
(805) 544-3434
(805) 544-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D18270
DENTI-CAL
CA
Enumeration date
03/14/2007
Last updated
07/27/2007
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