Individual
LARRY V SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MPH
Contact information
Practice address
1231 OSOS ST, SAN LUIS OBISPO, CA 93401
(805) 544-3434
(805) 544-3443
Mailing address
1231 OSOS ST, SAN LUIS OBISPO, CA 93401
(805) 544-3434
(805) 544-3443
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
18270
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
D18270
—
CA
Enumeration date
09/19/2006
Last updated
07/09/2007
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