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1215290754
KANDIS ALEXIS SMITH
ROXBURY, MA
NPI
1215290754
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: MA DN1856022)
Enumeration Date
2012-06-20
Last Update Date
2012-11-13
Business Address
Dr. KANDIS ALEXIS SMITH DMD, MA
435 WARREN ST
ROXBURY, MA 02119-1833
Phone number: 617-442-7400
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Mailing Address
Dr. KANDIS ALEXIS SMITH DMD, MA
6 CENTRE ST APT 1
ROXBURY, MA 02119-1510
Phone number: 510-332-1627
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