Individual
DR. EDWARD L SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
340 APTOS RIDGE CIRCLE, WATSONVILLE, CA 95076
(831) 251-0552
Mailing address
340 APTOS RIDGE CIRCLE, WATSONVILLE, CA 95076
(831) 251-0552
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27689
CA
Other
Enumeration date
08/15/2012
Last updated
08/15/2012
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