Individual
DR. ELIZABETH DOCKERTY SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MSD
Contact information
Practice address
9876 W STATE ST, STAR, ID 83669-5210
(208) 898-0000
Mailing address
1151 N CREEKWATER WAY, EAGLE, ID 83616-4853
(208) 870-5739
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
12010466A
IN
Other
Enumeration date
04/26/2007
Last updated
01/25/2023
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