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JURINA SMIDA DDS NPI 1942681937


NPI Information

NPI: 1942681937
Provider Name: JURINA SMIDA DDS
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
26 4TH ST
PETALUMA, CA
ZIP 94952
Phone: (707) 789-9151
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JURINA SMIDA DDS is a dental clinic center in Petaluma, CA. JURINA SMIDA DDS NPI is 1942681937. The provider is registered as an organization entity type.

The provider's business location address is:

26 4TH ST
PETALUMA, CA
ZIP 94952-040
Phone: (707) 789-9151

The provider's authorized official is Soraiya Smida .
The authorized official title is Office Manager and has the following contact phone number (707) 789-9151.

The enumeration date for this NPI number is 6/15/2015 and was last updated on 6/15/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDentalCALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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