Provider Demographics
NPI:1457496317
Name:SMITH & GARCIA ORTHODONTICS A PARTNERSHIP OF CORPORATIONS
Entity Type:Organization
Organization Name:SMITH & GARCIA ORTHODONTICS A PARTNERSHIP OF CORPORATIONS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:E
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:951-296-5100
Mailing Address - Street 1:40285 WINCHESTER RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TEMECULA
Mailing Address - State:CA
Mailing Address - Zip Code:92591-5547
Mailing Address - Country:US
Mailing Address - Phone:951-296-5100
Mailing Address - Fax:951-296-5103
Practice Address - Street 1:40285 WINCHESTER RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TEMECULA
Practice Address - State:CA
Practice Address - Zip Code:92591-5547
Practice Address - Country:US
Practice Address - Phone:951-296-5100
Practice Address - Fax:951-296-5103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA1223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial OrthopedicsGroup - Single Specialty