| Organization Name: | THOMAS E SMITH DPM |
| NPI Number: | 1225106230 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS E SMITH (OWNER) |
| Mailing Address: | 425 W Bonita Ave Ste 110 San Dimas |
| State: | CA US |
| Postal Code: | 917732543 |
| Phone Number: | 9095990981 |
| Fax Number: | 9095920738 |
| NPI Enumeration Date: | 11/30/2006 |
| NPI Last Update Date: | 09/09/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 213EP0504X |
| License Number: | E2504 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
| Taxonomy Classification: | Podiatrist |
| Taxonomy Specialization: | Public Medicine |
| Taxonomy Definition: | |