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Individual

DR. CRAIG R SMITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
2803 N BOGUS BASIN RD, BOISE, ID 83702-0913
(208) 343-1393
(208) 388-8462
Mailing address
2803 N BOGUS BASIN RD, BOISE, ID 83702-0913
(208) 343-1393
(208) 388-8462

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-2077
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1386751212
ID
Enumeration date
08/24/2006
Last updated
04/03/2019
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