Organization
MILLENNIUM FAMILY DENTAL - MERIDIAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL B SMITH DMD (OWNER)
(208) 888-2026
Entity
Organization
Contact information
Practice address
1848 MILLENIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Mailing address
1848 MILLENIUM WAY, MERIDIAN, ID 83642
(208) 888-2026
(208) 888-2094
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
09/21/2006
Last updated
01/26/2022
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