Female

Dr. Kandis A. Smith DMD, MA

Dentist in Roxbury, MA(View on Map)

Full Name

Dr. Kandis Alexis Smith DMD, MA

NPI Number

1215290754

NPI Type

Individual Provider

Gender

Female

Enumeration Date

06/20/2012

Specialties

(Taxonomies)

Name

Code

122300000X

Primary Taxonomy

Yes

Licenses

State

Massachusetts

License Number

DN1856022

Contact
Information

Purpose

Mailing
Location

Address

6 CENTRE ST
435 WARREN ST

City

Roxbury
Roxbury

State

MA
MA

Postal Code

02119-1510
02119-1833

Country

US
US

Telephone Number

(510) 332-1627
(617) 442-7400

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 11/13/2012

Provider Address

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