Individual
DR. JOHN KENNETH SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
10 MAIN ST, LEECHBURG, PA 15656-1239
(724) 845-8631
Mailing address
10 MAIN ST, LEECHBURG, PA 15656-1239
(724) 845-8631
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS021942L
PA
Other
Enumeration date
08/11/2011
Last updated
08/11/2011
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