Organization
JESSICA SMITH DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JESSICA CARTER SMITH DDS (OWNER)
(805) 471-1211
Entity
Organization
Contact information
Practice address
886 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1311
(805) 543-4770
Mailing address
886 BOYSEN AVE, SAN LUIS OBISPO, CA 93405-1311
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
06/16/2018
Last updated
06/16/2018
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