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Individual

DR. ELDRIDGE CHARLES SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PERIODONTIST DDS

Contact information

Practice address
3804 CLAIREMONT DRIVE, SAN DIEGO, CA 92117-5831
(858) 272-0070
(858) 272-0072
Mailing address
3804 CLAIREMONT DRIVE, SAN DIEGO, CA 92117-5831
(858) 272-0070
(858) 272-0072

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
26231
CA

Other

Enumeration date
08/04/2006
Last updated
07/08/2007
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