Organization
ANDREW A SMITH, INC.
Active
Other names
Main Street Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW A SMITH DDS (OWNER)
(209) 827-9226
Entity
Organization
Contact information
Practice address
1314 S 6TH ST, LOS BANOS, CA 93635-4729
(209) 827-9226
(209) 827-7679
Mailing address
1314 S 6TH ST, LOS BANOS, CA 93635-4729
(209) 827-9226
(209) 827-7679
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
C42233
CA
122300000X
Dentist
C43678
CA
Other
Enumeration date
02/26/2007
Last updated
11/19/2008
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