# CR SMILES - MERIDIAN DENTAL CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306314323
- **Authorized official:** DR. CALVIN C BROWN JR. DDS (SOLE MEMBER)
- **Authorized official phone:** (248) 798-7708

## Contact information

- **Practice address:** 1500 W CAYUSE CREEK DR, \#100, MERIDIAN, ID 83646
- **Practice address phone:** (208) 893-5435
- **Practice address fax:** (208) 884-8915
- **Mailing address:** 8285 W UNION HILLS DR \#103, GLENDALE, AZ 85308
- **Mailing address phone:** (623) 362-8200
- **Mailing address fax:** (623) 979-7364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |
| 261QD0000X | Dental Clinic/Center | — | — | — |

## Other

- **Enumeration date:** 11/07/2018
- **Last updated:** 12/04/2018