Individual
MR. CALVIN DANIEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 IRVING RD, EUGENE, OR 97404
(541) 514-7691
Mailing address
4837 SCENIC DR, EUGENE, OR 97404
(541) 514-7691
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DT-DO-10186888
OR
Other
Enumeration date
12/07/2017
Last updated
12/07/2017
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