Organization
SMILES 4 KIDS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TREVOR SMITH DMD (OWNER)
(208) 734-7415
Entity
Organization
Contact information
Practice address
1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 83301-3459
(208) 734-7415
(208) 733-1922
Mailing address
1411 FALLS AVE E STE 1000C, TWIN FALLS, ID 83301-3459
(208) 734-7415
(208) 733-1922
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D-4351-PD
ID
Other
Enumeration date
09/09/2008
Last updated
05/16/2016
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