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Organization

SMILES 4 KIDS

Active
Other names
Smiles 4 Kids
Organization subpart
No

Provider details

NPI number
Authorized official
RIKI LAMBERT DDS (PRACTICE OWNER)
(208) 939-2380
Entity
Organization

Contact information

Practice address
5737 W FAIRVIEW AVE, BOISE, ID 83706-1168
(208) 322-3010
Mailing address
5737 W FAIRVIEW AVE, BOISE, ID 83706-1168
(208) 322-3010

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4231
ID

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1134229784
ID
05
1164412706
ID
05
1407944390
ID
05
1841305646
ID
Enumeration date
10/13/2014
Last updated
11/24/2015
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