Individual
ANDREW A SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1213 COFFEE RD. STE N, MODESTO, CA 95355
(209) 577-0833
(209) 577-3469
Mailing address
1213 COFFEE RD. STE N, MODESTO, CA 95355
(209) 577-0833
(209) 577-3469
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
108025
CA
Other
Enumeration date
09/18/2023
Last updated
09/18/2023
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