Individual
ALONZO RAY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
700 MELVIN AVE STE 2, ANNAPOLIS, MD 21401-1506
(410) 280-5013
Mailing address
3380 CURTIS DR APT 103, SUITLAND, MD 20746-2606
(510) 827-8797
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
17066
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/06/2020
Last updated
05/16/2022
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