| NPI | 1053400580 |
|---|---|
| Doing Business As | SMILES BY DESIGN |
| Entity Type | Organization |
| Authorized Contact | RICHARD LAMONTE PAGE President 208-237-6453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice (Licence: ID D3606) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2008-09-17 |