Individual
DR. DAN SULLIVAN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5988 SAINT DENIS TER, SAN DIEGO, CA 92120-3015
(619) 287-8049
(619) 287-8044
Mailing address
5988 SAINT DENIS TER, SAN DIEGO, CA 92120-3015
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
CFE 25635
CA
Other
Enumeration date
01/09/2012
Last updated
01/09/2012
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