Kelvin B. Smith, Dds, Llc | |
7008 Security Blvd Suite 110 Baltimore MD 21244-2566 | |
(410) 277-9206 | |
(410) 277-9209 |
Full Name | Kelvin B. Smith, Dds, Llc |
---|---|
Speciality | Dentist - General Practice |
Location | 7008 Security Blvd, Baltimore, Maryland |
Authorized Official Name and Position | Kelvin Bruce Smith (MANAGING MEMBER) |
Authorized Official Contact | 4102779206 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Kelvin B. Smith, Dds, Llc 7008 Security Blvd Suite 110 Baltimore MD 21244-2566 Ph: (410) 277-9206 | Kelvin B. Smith, Dds, Llc 7008 Security Blvd Suite 110 Baltimore MD 21244-2566 Ph: (410) 277-9206 |
NPI Number | 1003058801 |
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Provider Enumeration Date | 03/25/2009 |
Last Update Date | 03/25/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003058801 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8650 (Maryland) | Primary |
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