Organization
KENT W SMALL, MD A MEDICAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENT W SMALL M.D. (PRESIDENT)
(818) 552-5040
Entity
Organization
Contact information
Practice address
501 NORTH ORANGE STREET, SUITE 250, GLENDALE, CA 91203-1971
(818) 552-5040
(818) 552-5044
Mailing address
501 NORTH ORANGE STREET, SUITE 250, GLENDALE, CA 91203-1971
(818) 552-5040
(818) 552-5044
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
03/28/2008
Last updated
11/15/2012
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