Individual
LAUREN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
906 ROYAL CT, MEDFORD, OR 97504-6139
(541) 414-0519
(541) 842-7774
Mailing address
1000 E MAIN ST, MEDFORD, OR 97504-7667
(541) 773-3863
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D10696
OR
Other
Enumeration date
07/21/2017
Last updated
10/19/2021
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