Dr. Ralph Jerry Smith, D.D.S.
Dentist, General Practice in Covina, CA. Individual provider (NPI-1).
NPI number1073661583
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1073661583
- Entity type
- Individual (NPI-1)
- Name
- Dr. Ralph Jerry Smith
- Credential
- D.D.S.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 8, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 19530 | CA | Yes |
Practice location
236 W Badillo StCovina, CA 91723-1906
Phone 626-339-7300 · Fax 626-339-4540
Mailing address
236 W Badillo StCovina, CA 91723-1906
Phone 626-339-7300 · Fax 626-339-4540
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