Organization
JEFFERY W SMITH DDS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFERY WILLIAM SMITH DDS (PRESIDENT)
(209) 532-4376
Entity
Organization
Contact information
Practice address
630 WOODS CREEK DR, SONORA, CA 95370-4817
(209) 532-4376
Mailing address
630 WOODS CREEK DR, SONORA, CA 95370-4817
(209) 532-4376
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
25219
CA
Other
Enumeration date
10/04/2007
Last updated
10/04/2007
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