| Andrew A Smith, Inc. | |
|
1314 S 6th St Los Banos CA 93635-4729 | |
| (209) 827-9226 | |
| (209) 827-7679 |
| Full Name | Andrew A Smith, Inc. |
|---|---|
| Speciality | Dentist |
| Location | 1314 S 6th St, Los Banos, California |
| Authorized Official Name and Position | Andrew A Smith (OWNER) |
| Authorized Official Contact | 2098279226 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrew A Smith, Inc. 1314 S 6th St Los Banos CA 93635-4729 Ph: (209) 827-9226 | Andrew A Smith, Inc. 1314 S 6th St Los Banos CA 93635-4729 Ph: (209) 827-9226 |
| NPI Number | 1790811669 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 11/19/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790811669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | C43678 (California) | Secondary |
| 122300000X | Dentist | C42233 (California) | Primary |
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