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Organization

SYMPHONY DSO

Active
Organization subpart
No

Provider details

NPI number
Authorized official
LOWELL DOUGLAS SMITH (CEO)
(208) 930-9464
Entity
Organization

Contact information

Practice address
1119 N 4TH ST, COEUR D ALENE, ID 83814-3216
(208) 667-8997
Mailing address
10909 N DANIELLE RD, HAYDEN, ID 83835-8417
(208) 930-9464

Taxonomy

Speciality
Code
Description
License number
State
122400000X
Denturist
Primary

Other

Enumeration date
04/17/2026
Last updated
04/17/2026
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