Individual
BRANKO SMIDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1690 TIBURON BLVD, TIBURON, CA 94920-2543
(415) 328-5129
(415) 789-0885
Mailing address
1690 TIBURON BLVD, TIBURON, CA 94920-2543
(415) 328-5129
(415) 789-0885
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
52933
CA
Other
Enumeration date
07/22/2009
Last updated
07/22/2009
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