Individual
DR. KENNETH J SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
511 NORTH PROVIDENCE ROAD, MEDIA, PA 19063
(610) 565-0525
(610) 565-4724
Mailing address
511 NORTH PROVIDENCE ROAD, MEDIA, PA 19063
(610) 565-0525
(610) 565-4724
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS015516L
PA
Other
Enumeration date
12/21/2006
Last updated
07/08/2007
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