Provider Demographics
NPI:1003905142
Name:SMOLENSKI, MARIA (DDS)
Entity Type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:SMOLENSKI
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:827 ALTOS OAKS DR
Mailing Address - Street 2:SUITE 2
Mailing Address - City:LOS ALTOS
Mailing Address - State:CA
Mailing Address - Zip Code:94024-5495
Mailing Address - Country:US
Mailing Address - Phone:650-941-9855
Mailing Address - Fax:650-941-5620
Practice Address - Street 1:827 ALTOS OAKS DRIVE
Practice Address - Street 2:SUITE 2
Practice Address - City:LOS ALTOS
Practice Address - State:AL
Practice Address - Zip Code:94024
Practice Address - Country:US
Practice Address - Phone:650-941-9855
Practice Address - Fax:650-941-5620
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA306651223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice