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Organization

THOMAS R. SMART, DDS, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS RICHARD SMART (DENTIST)
(208) 667-0012
Entity
Organization

Contact information

Practice address
1717 LINCOLN WAY STE 204, COEUR D ALENE, ID 83814-2556
(208) 667-0012
(208) 765-0788
Mailing address
1717 LINCOLN WAY SUITE 204, COEUR D ALENE, ID 83814-2556
(208) 667-0012
(208) 765-0788

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
806798100
ID
Enumeration date
03/05/2008
Last updated
06/24/2008
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