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NPI Code Detail

MEDICARE: ALEXAUNDREA SMITH DDS

MEDICARE:   ALEXAUNDREA  SMITH  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist7221OK
21223G0001XGeneral Practice Dentistry106628CA

General Provider Information

NPI Number : 1629621610
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXAUNDREA SMITH DDS
Provider Business Mailing Address
First Line : 5831 OVERHILL DR
Second Line :
City : WINDSOR HILLS
State : CA
Zip : 90043-2715
Country : US
Telephone Number : 323-296-6180
Fax Number :
Provider Business Practice Location Address
First Line : 5831 OVERHILL DR
Second Line :
City : WINDSOR HILLS
State : CA
Zip : 90043-2715
Country : US
Telephone Number : 310-916-4028
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/19/2019
Last Update Date : 12/21/2021

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Directions to “ ALEXAUNDREA SMITH DDS” Practice Location

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