| Shelby J. Smith, Dds, Ms, A Professional Corporation | |
|
2213 Buchanan Rd Ste 112 Antioch CA 94509-4265 | |
| (925) 755-5115 | |
| (925) 755-5003 |
| Full Name | Shelby J. Smith, Dds, Ms, A Professional Corporation |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 2213 Buchanan Rd Ste 112, Antioch, California |
| Authorized Official Name and Position | Shelby J Smith (PRESIDENT) |
| Authorized Official Contact | 9257555115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shelby J. Smith, Dds, Ms, A Professional Corporation 2213 Buchanan Rd Ste 112 Antioch CA 94509-4265 Ph: (925) 755-5115 | Shelby J. Smith, Dds, Ms, A Professional Corporation 2213 Buchanan Rd Ste 112 Antioch CA 94509-4265 Ph: (925) 755-5115 |
| NPI Number | 1376703066 |
|---|---|
| Provider Enumeration Date | 06/16/2008 |
| Last Update Date | 06/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376703066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 38482 (California) | Primary |
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