Individual
DR. KERRY DAVID SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
16319 FISHHAWK BLVD, LITHIA, FL 33547-3932
(813) 681-6200
(813) 681-6227
Mailing address
16319 FISHHAWK BLVD, LITHIA, FL 33547-3932
(813) 681-6200
(813) 681-6227
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
8136816220
FL
Other
Enumeration date
04/13/2009
Last updated
04/13/2009
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