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Larry V Smith, DDSMPH
Pediatric Dentist in San Luis Obispo, California
NPI 1679670277

Larry V Smith is a Pediatric Dentist based in San Luis Obispo, CA and is specialized in Pediatric Dentistry. Larry V Smith practices in San Luis Obispo, CA and has the professional credentials of DDSMPH. The NPI Number for Larry V Smith is 1679670277 and holds a License No. 18270 (California).

The current practice location address for Larry V Smith is 1231 Osos St, San Luis Obispo, CA and can be reached out via phone at 805-544-3434 and via fax at 805-544-3443.

Location: 1231 Osos St, San Luis Obispo, CA, 93401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679670277
Provider Name
Larry V Smith
Credential
DDSMPH
Provider Entity Type
Individual
Gender
Male
Address
1231 Osos St, San Luis Obispo, CA, 93401
Phone Number
805-544-3434
Fax Number
805-544-3443
Provider Enumeration Date
09/19/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
D18270 05 CA
institution
Provider Business Practice Location Address Details
Address
1231 Osos St
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-544-3434
Fax Number
805-544-3443
person
Provider Business Mailing Address Details
Address
1231 Osos St
City
San Luis Obispo
State
California
Zip
93401
Phone Number
805-544-3434
Fax Number
805-544-3443
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
18270 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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