Individual
DR. KENNETH NELSON SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4110 PLANTATION RD NE, ROANOKE, VA 24012-3136
(540) 563-1734
Mailing address
4110 PLANTATION RD NE, ROANOKE, VA 24012-3136
(540) 563-1734
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401005178
VA
Other
Enumeration date
04/21/2008
Last updated
04/21/2008
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