# SODA SMILES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Soda Smiles
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760888929
- **Authorized official:** DR. GARY M LEMARR DMD (PRESIDENT)
- **Authorized official phone:** (208) 547-2244

## Contact information

- **Practice address:** 180 S MAIN ST, SODA SPRINGS, ID 83276-1441
- **Practice address phone:** (208) 547-2244
- **Practice address fax:** (208) 547-0375
- **Mailing address:** 180 S MAIN ST, SODA SPRINGS, ID 83276-1441
- **Mailing address phone:** (208) 547-2244
- **Mailing address fax:** (208) 547-0375

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 122300000X | Dentist | — | — | Yes |

## Other

- **Enumeration date:** 11/14/2014
- **Last updated:** 11/14/2014