Individual
KATHARINE CLAUSSEN SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.M.D
Contact information
Practice address
111 BAKER ST, MC CLELLANVILLE, SC 29458-9714
(843) 452-2454
Mailing address
111 BAKER ST, MC CLELLANVILLE, SC 29458-9714
(843) 452-2454
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
920
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/11/2012
Last updated
09/28/2016
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