Individual
DR. RANDALL B SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
1848 S MILLENIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Mailing address
1848 S. MILLENNIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3169
ID
Other
Enumeration date
10/04/2006
Last updated
09/22/2021
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