Individual
DR. ANDREW JACOB SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-1120
(541) 884-1331
Mailing address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-1120
(541) 884-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9136
OR
Other
Enumeration date
06/02/2010
Last updated
06/02/2010
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