Individual
DR. EVAN A SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
801 N 10TH ST, BOISE, ID 83702-5423
(208) 343-4986
(208) 343-4995
Mailing address
801 N 10TH ST, BOISE, ID 83702-5423
(208) 343-4986
(208) 343-4995
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4178
ID
Other
Enumeration date
08/05/2008
Last updated
08/05/2008
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