Cory M. Smith, Dmd, L.l.c.

NPI #1962727693 in Stayton, Oregon

Provider Information

NPI Number: 1962727693
Entity Type: Organization
Organization Name: Cory M. Smith, Dmd, L.l.c.
Primary Specialty: Clinic/Center - Dental
Enumeration Date: Apr 6, 2010
Last Updated: Apr 6, 2010

Practice Location

Address: 505 N 2ND AVE
City: Stayton
State: Oregon
ZIP Code: 97383-1715
Phone: (503) 769-3366

Authorized Official

Name: DR. CORY MERIL SMITH, DMD
Title: DENTIST
Phone: (503) 476-5512

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X	Primary

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