Individual
KELSEY CAITLIN SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MD
Contact information
Practice address
1 MID RIVERS MALL DR STE 310, SAINT PETERS, MO 63376-4323
(636) 928-7217
Mailing address
1 MID RIVERS MALL DR STE 310, SAINT PETERS, MO 63376-4323
(163) 692-8721
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
2016018483
MO
Other
Enumeration date
03/23/2016
Last updated
07/20/2022
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