Individual
DR. KELVIN BRUCE SMITH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
7008 SECURITY BLVD, SUITE 110, BALTIMORE, MD 21244-2566
(410) 277-9206
(410) 277-9209
Mailing address
7008 SECURITY BLVD, SUITE 110, BALTIMORE, MD 21244-2566
(410) 277-9206
(410) 277-9209
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8650
MD
Other
Enumeration date
08/19/2005
Last updated
07/08/2007
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