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Organization
MARK E. SMITH DDS, PC
Active
Organization
MARK E. SMITH DDS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK E SMITH DDS (PRESIDENT)
(208) 846-8847
Entity
Organization
Contact information
Practice address
2320 E GALA ST, SUITE 200, MERIDIAN, ID 83642-7091
(208) 846-8847
(208) 288-2786
Mailing address
2320 E GALA ST, SUITE 200, MERIDIAN, ID 83642-7091
(208) 846-8847
(208) 288-2786
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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