Organization
CECIL B SMITH D.D.S. INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMERA JOYCE RIVERS (OFFICE MANAGER)
(310) 677-1565
Entity
Organization
Contact information
Practice address
101 N LA BREA AVE STE 402, INGLEWOOD, CA 90301-1791
(310) 677-1565
(310) 677-7095
Mailing address
101 N LA BREA AVE STE 402, INGLEWOOD, CA 90301-1791
(310) 677-1565
(310) 677-7095
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
36613
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B3661301
DENTI-CAL
CA
Enumeration date
09/21/2007
Last updated
09/21/2007
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