Individual
KAYLA SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
4233 LAKE AVE, BLASDELL, NY 14219-1216
(716) 332-3070
Mailing address
155 LAWN AVE, BUFFALO, NY 14207-1816
(716) 875-2904
(716) 332-0917
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
024184-01
NY
Other
Enumeration date
06/11/2021
Last updated
06/24/2021
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