Organization
SMITH BROTHERS DENTAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS SMITH DMD (OWNER/DENTIST)
(971) 678-4741
Entity
Organization
Contact information
Practice address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-1120
(541) 884-1331
Mailing address
2200 BRYANT WILLIAMS DR, KLAMATH FALLS, OR 97601-1120
(541) 884-1331
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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