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1902115892
JESSICA C SMITH
SAN LUIS OBISPO, CA
NPI
1902115892
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: CA 58962)
Additional Taxonomies
122300000X Dentist
(Licence: AK 1362)
Enumeration Date
2010-09-27
Last Update Date
2018-06-14
Business Address
JESSICA C SMITH DDS
886 BOYSEN AVE
SAN LUIS OBISPO, CA 93405
Phone number: 805-543-4700
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Mailing Address
JESSICA C SMITH DDS
886 BOYSEN AVE
SAN LUIS OBISPO, CA 93405-1311
Phone number: 805-471-1211
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