Individual
DR. KARL ALLEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
2500 N VAN DORN ST STE 128, ALEXANDRIA, VA 22302-1601
(703) 894-4867
(703) 894-4869
Mailing address
2500 N VAN DORN ST STE 128, ALEXANDRIA, VA 22302-1601
(703) 894-4867
(703) 894-4869
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
0401008353
VA
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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