Individual
DR. KAMAL JACKSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2998 PANOLA RD STE 100, STONECREST, GA 30038-2395
(770) 322-8040
Mailing address
125 N ARCADIA AVE APT 230, DECATUR, GA 30030-2152
(301) 404-0796
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN123082
GA
Other
Enumeration date
07/17/2023
Last updated
07/17/2023
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