Individual
DR. ZACHARY SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
780 W CHERRY LN, MERIDIAN, ID 83642-1617
(208) 888-4711
Mailing address
1212 N COLE RD, BOISE, ID 83704-8646
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5424
ID
Other
Enumeration date
06/08/2022
Last updated
01/05/2023
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