Kelli Simone Smith, DMD Valid NPI
Individual provider · General Practice Dentistry · O Fallon, MO
- NPI
- 1497323117
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 2021022556 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2021-06-17
- Last updated
- 2021-06-17
Practice location
1630 Market Center Blvd Fl 1
O Fallon, MO 63368-8407
(636) 300-4380