Organization
MCMILLAN FAMILY DENTAL PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDALL B SMITH DMD (OWNER)
(208) 888-2026
Entity
Organization
Contact information
Practice address
1720 W MCMILLAN RD, MERIDIAN, ID 83646-6892
(208) 216-6110
(208) 639-1357
Mailing address
1720 W MCMILLAN RD, MERIDIAN, ID 83646-6892
(208) 216-6110
(208) 639-1357
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/30/2018
Last updated
01/26/2022
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