GLEN ALLEN SMITH

BOISE, ID
NPI1154338812
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223X0400X Dentist Orthodontics and Dentofacial Orthopedics
(Licence: ID  D30360R)
Enumeration Date2006-08-02
Last Update Date2007-07-08
Business Address
DR. GLEN ALLEN SMITH DDS MS
4725 N CLOVERDALE RD
BOISE, ID 83713
Phone number: 208-323-4458
Mailing Address
DR. GLEN ALLEN SMITH DDS MS
869 E ANTILLES CRT
MERIDIAN, ID 83642
Phone number: 208-887-1718
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