Individual
DR. KEVIN E SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
228 W 71ST ST, NEW YORK, NY 10023-3730
(212) 799-1441
Mailing address
228 W 71ST ST, NEW YORK, NY 10023-3730
(212) 799-1441
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
040872
NY
Other
Enumeration date
10/16/2007
Last updated
10/16/2007
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