NPI 1013046093

Brian M Smith, DDS

Practitioner Oral and Maxillofacial Surgery (Dentist) Bonsall, CA

Practice location

Address: 5256 S Mission Rd STE 1103, Bonsall, CA 92003-3624
Phone: (760) 630-6494
Fax: (760) 630-6498

Registered specialties

Oral and Maxillofacial Surgery (Dentist) Primary

Dental Providers Taxonomy 1223S0112X Licence 21406 (CA)

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Registry record

NPI: 1013046093
Entity type: Individual
Sex (as registered): Male
NPI issued: 5 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.