Individual
DR. MARIE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8636 N WAYNE DR, HAYDEN, ID 83835-5084
(208) 762-1555
Mailing address
8636 N WAYNE DR, HAYDEN, ID 83835-5084
(208) 762-1555
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D4783
ID
Other
Enumeration date
08/12/2016
Last updated
10/21/2025
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