Organization
LOREN DONNELL SMITH OD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LOREN DONNELL SMITH OD (CMO/)
(510) 796-3937
Entity
Organization
Contact information
Practice address
35149 NEWARK BLVD, STE C, NEWARK, CA 94560-1209
(510) 796-3937
Mailing address
35149 NEWARK BLVD, STE C, NEWARK, CA 94560-1209
(510) 796-3937
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
07354TLG
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
SD0073540
—
CA
Enumeration date
01/13/2014
Last updated
01/13/2014
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