Kimberly Blair Smith Dmd PA
NPI #1891842332 in Mendenhall, Mississippi
Provider Information
- NPI Number
- 1891842332
- Entity Type
- Organization
- Organization Name
- Kimberly Blair Smith Dmd PA
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Jan 5, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 409 MAIN ST N
- City
- Mendenhall
- State
- Mississippi
- ZIP Code
- 39114-3318
- Phone
- (601) 847-1223
Authorized Official
- Name
- KIMBERLY BLAIR SMITH, DMD
- Title
- PRESIDENT
- Phone
- (601) 847-1223
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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