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1013920313
SAMUEL G. SMITH
BOISE, ID
NPI
1013920313
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: ID D-3549-OR)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Dr. SAMUEL G. SMITH D.M.D.,M.S.
1541 S. TIMES SQUARE
BOISE, ID 83709
Phone number: 208-321-7006
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Mailing Address
Dr. SAMUEL G. SMITH D.M.D.,M.S.
1541 S. TIMES SQUARE
BOISE, ID 83709
Phone number: 208-321-7006
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