| Jessica Smith Dds, Inc. | |
|
886 Boysen Ave San Luis Obispo CA 93405-1311 | |
| (805) 543-4770 | |
| Not Available |
| Full Name | Jessica Smith Dds, Inc. |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 886 Boysen Ave, San Luis Obispo, California |
| Authorized Official Name and Position | Jessica Carter Smith (OWNER) |
| Authorized Official Contact | 8054711211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jessica Smith Dds, Inc. 886 Boysen Ave San Luis Obispo CA 93405-1311 Ph: () - | Jessica Smith Dds, Inc. 886 Boysen Ave San Luis Obispo CA 93405-1311 Ph: (805) 543-4770 |
| NPI Number | 1871087585 |
|---|---|
| Provider Enumeration Date | 06/16/2018 |
| Last Update Date | 06/16/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871087585 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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