CHARLES DAVID SMITH

SEATTLE, WA
NPI1770112575
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy204E00000X Oral & Maxillofacial Surgery
(Licence: WA  DR61069016)
Additional Taxonomies390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-04-03
Last Update Date2020-07-22
Business Address
CHARLES DAVID SMITH
1959 NE PACIFIC STREET; HSB ROOM B 241
SEATTLE, WA 98195-0001
Phone number: 218-849-6683
Mailing Address
CHARLES DAVID SMITH
PO BOX 357134
SEATTLE, WA 98195-7134
Phone number: 218-849-6683