Individual
LAURIE SMALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
12150 NEW YORK RANCH RD, JACKSON, CA 95642-9407
(209) 257-2460
(209) 257-2464
Mailing address
PO BOX 939, ANGELS CAMP, CA 95222-0939
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
14446
CA
Other
Enumeration date
06/20/2025
Last updated
06/20/2025
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