Individual
DR. KEVIN JOSEPH SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
10001 NE 117TH AVE, VANCOUVER, WA 98662-1504
(402) 203-8776
Mailing address
1325 S 8TH WAY, RIDGEFIELD, WA 98642-9237
(402) 203-8776
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DE 60171756
WA
Other
Enumeration date
06/12/2007
Last updated
04/21/2011
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