Individual
KELLIE DENIA SMITH-CASTRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
1860 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30043
(678) 226-9063
(678) 226-9445
Mailing address
1860 DULUTH HWY STE 401, LAWRENCEVILLE, GA 30043-5061
(782) 269-0636
(678) 226-9445
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN015357
GA
1223G0001X
General Practice Dentistry
8993
NC
Other
Enumeration date
07/12/2010
Last updated
06/11/2019
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