Individual
KADIJAH S SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3120 STONECREST BLVD STE 100, STONECREST, GA 30038-2693
(770) 484-4994
Mailing address
125 N ARCADIA AVE APT 224, DECATUR, GA 30030-2153
(901) 574-8930
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123197
GA
Other
Enumeration date
07/25/2023
Last updated
07/25/2023
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