Kelly Smith
Dental Hygienist in Catonsville, MD. Individual provider (NPI-1).
NPI number1093545261
StatusActive
Last updated in NPPESAug 3, 2024
Details
- NPI
- 1093545261
- Entity type
- Individual (NPI-1)
- Name
- Kelly Smith
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 3, 2024
- Certification date
- Aug 3, 2024
- Last updated
- Aug 3, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 8385 | MD | Yes |
Practice location
616 Frederick RdCatonsville, MD 21228-4625
Phone 410-747-1115
Mailing address
3 Barnhart RdWestminster, MD 21158-1301
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