Organization
SMITH PEDIATRIC DENTISTRY P.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR P SMITH DDS (PEDIATRIC DENTIST)
(208) 268-0111
Entity
Organization
Contact information
Practice address
370 N HAVEN DR STE 103, TWIN FALLS, ID 83301-6023
(208) 268-0111
(208) 268-0112
Mailing address
370 N HAVEN DR STE 103, TWIN FALLS, ID 83301-6023
(208) 268-0111
(208) 268-0112
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
03/17/2025
Last updated
03/28/2025
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