Organization
TMJ THERAPY CENTRE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS B SMITH DDS (OWNER)
(619) 466-2774
Entity
Organization
Contact information
Practice address
7557 EL CAJON BLVD STE C, LA MESA, CA 91941-8623
(619) 466-2774
Mailing address
7879 EL CAJON BLVD, LA MESA, CA 91942-0623
(619) 466-2774
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
53351
CA
Other
Enumeration date
05/29/2007
Last updated
07/11/2012
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