Organization
JURINA SMIDA DDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SORAIYA SMIDA (OFFICE MANAGER)
(707) 789-9151
Entity
Organization
Contact information
Practice address
26 4TH ST, PETALUMA, CA 94952-3040
(707) 789-9151
Mailing address
26 4TH ST, PETALUMA, CA 94952-3040
(707) 789-9151
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
CA
Other
Enumeration date
06/15/2015
Last updated
06/15/2015
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