Individual
KENDRA KAY DAVIS SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
7050 AIR DEPOT BLVD STE 1094, TINKER AFB, OK 73145-8716
(405) 734-2778
Mailing address
29709 HARDESTY RD, MCLOUD, OK 74851-8589
(405) 765-6768
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4031
OK
Other
Enumeration date
03/16/2023
Last updated
03/16/2023
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