Individual
DR. KEVIN CLARK SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
610 NINTH AVE, BRUNSWICK, MD 21716-1828
(301) 834-6441
(301) 834-6546
Mailing address
610 NINTH AVE, BRUNSWICK, MD 21716
(301) 834-6441
(301) 834-6546
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10695
MD
Other
Enumeration date
04/06/2007
Last updated
07/08/2007
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