Kanisha Smith

NPI #1043953151 in Conyers, Georgia

Provider Information

NPI Number
1043953151
Entity Type
Individual
Name
Kanisha Smith
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist
Enumeration Date
Apr 16, 2022
Last Updated
Jul 28, 2023

Practice Location

Address
2390 WALL ST SE STE 120
State
Georgia
ZIP Code
30013-2151
Phone
(770) 929-3411

Specialties & Taxonomy Codes

Specialty
Dentist

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