Individual
KELLY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
616 FREDERICK RD, CATONSVILLE, MD 21228-4625
(410) 747-1115
Mailing address
3 BARNHART RD, WESTMINSTER, MD 21158-1301
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
8385
MD
Other
Enumeration date
08/03/2024
Last updated
08/03/2024
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