Organization
TYLER J SMITH,PA
Active
Other names
Warm Springs Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYLER JOSHUA SMITH DMD (DENTIST/OWNER)
(208) 343-2000
Entity
Organization
Contact information
Practice address
2200 WARM SPRINGS AVE, STE 108, BOISE, ID 83712-8429
(208) 343-2000
Mailing address
2200 WARM SPRINGS AVE, STE 108, BOISE, ID 83712-8429
(208) 343-2000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3898
ID
Other
Enumeration date
02/04/2010
Last updated
02/04/2010
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