Individual
ASHLEY CLARENCE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
201 S PARADISE AVE, MIDDLETON, ID 83644-5809
(208) 585-0048
(208) 466-5359
Mailing address
PO BOX 9, NAMPA, ID 83653-0009
(208) 461-7149
(208) 466-5359
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4003
ID
Other
Enumeration date
12/13/2006
Last updated
11/06/2024
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