Organization
NATURAL SMILE DENTAL PLLC
Active
Other names
Star Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARLE D MURRAY (OFFICE MANAGER)
(208) 286-9890
Entity
Organization
Contact information
Practice address
10706 W STATE ST, SUITE 105, STAR, ID 83669
(208) 286-9890
(208) 286-9924
Mailing address
PO BOX 178, STAR, ID 83669
(208) 286-9890
(208) 286-9924
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3537
ID
1223G0001X
General Practice Dentistry
D3609
ID
1223G0001X
General Practice Dentistry
D4009
ID
Other
Enumeration date
10/25/2007
Last updated
10/25/2007
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