Organization
JARED M. SMITH, D.M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED M SMITH D.M.D. (DENTIST/OWNER)
(719) 275-0661
Entity
Organization
Contact information
Practice address
618 MAIN ST, CANON CITY, CO 81212-3737
(719) 275-0661
Mailing address
278 EAGLE DR E, CANON CITY, CO 81212-9649
(719) 269-8917
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8457
CO
Other
Enumeration date
01/10/2008
Last updated
01/10/2008
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