Organization
JARED M. SMITH DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JARED M SMITH DMD (OWNER)
(719) 275-0661
Entity
Organization
Contact information
Practice address
618 MAIN ST, CANON CITY, CO 81212-3737
(719) 275-0661
Mailing address
618 MAIN ST, CANON CITY, CO 81212-3737
(719) 275-0661
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
8457
CO
Other
Enumeration date
09/04/2015
Last updated
03/02/2016
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