Organization
CARL W. SMITH, M.D., INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CARL W. SMITH M.D. (PRESIDENT)
(909) 628-6556
Entity
Organization
Contact information
Practice address
12598 CENTRAL AVE, SUITE 109, CHINO, CA 91710-3502
(909) 628-6556
(909) 628-3831
Mailing address
12598 CENTRAL AVE, SUITE 109, CHINO, CA 91710-3502
(909) 628-6556
(909) 628-3831
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
G40206
CA
Other
Enumeration date
07/19/2008
Last updated
07/19/2008
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