Organization
SANDS-SMITH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIACECILIA SMITHLANATTA DDS (CFO)
(858) 551-0276
Entity
Organization
Contact information
Practice address
995 GATEWAY CENTER WAY STE 108, SAN DIEGO, CA 92102-4544
(858) 551-0276
(848) 454-9796
Mailing address
PO BOX 9032, LA JOLLA, CA 92038-9032
(858) 551-0276
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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