Organization
KELVIN B. SMITH, DDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KELVIN BRUCE SMITH D.D.S. (MANAGING MEMBER)
(410) 277-9206
Entity
Organization
Contact information
Practice address
7008 SECURITY BLVD, SUITE 110, BALTIMORE, MD 21244-2566
(410) 277-9206
(410) 277-9209
Mailing address
7008 SECURITY BLVD, SUITE 110, BALTIMORE, MD 21244-2566
(410) 277-9206
(410) 277-9209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8650
MD
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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