Organization
CR SMILES - MERIDIAN DENTAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CALVIN C BROWN JR. DDS (SOLE MEMBER)
(248) 798-7708
Entity
Organization
Contact information
Practice address
1500 W CAYUSE CREEK DR, #100, MERIDIAN, ID 83646
(208) 893-5435
(208) 884-8915
Mailing address
8285 W UNION HILLS DR #103, GLENDALE, AZ 85308
(623) 362-8200
(623) 979-7364
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
261QD0000X
Dental Clinic/Center
—
—
Other
Enumeration date
11/07/2018
Last updated
12/04/2018
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