Individual
KEVIN G SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
315 WAXBERRY TRL, SAN ANTONIO, TX 78256-1635
(909) 283-5114
Mailing address
315 WAXBERRY TRL, SAN ANTONIO, TX 78256-1635
(909) 283-5114
Taxonomy
Speciality
Code
Description
License number
State
1223D0004X
Dental Anesthesiology
Primary
25534
TX
Other
Enumeration date
10/04/2006
Last updated
02/12/2016
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