Individual
BRANDON B SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 W YOSEMITE AVE, MADERA, CA 93637-4551
(559) 673-0321
(559) 673-0540
Mailing address
700 W YOSEMITE AVE, MADERA, CA 93637-4551
(559) 673-0321
(559) 673-0540
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27487
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B2748701
—
CA
Enumeration date
02/20/2007
Last updated
07/09/2007
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