Individual
DR. KATHRYN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1960 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3314
(703) 494-4101
Mailing address
1960 DANIEL STUART SQ, WOODBRIDGE, VA 22191-3314
(703) 494-4101
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401412851
VA
Other
Enumeration date
06/15/2012
Last updated
06/15/2012
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