RYAN DOUGLAS SMITH

SAINT ANTHONY, ID
NPI1225326747
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-4364)
Enumeration Date2011-07-18
Last Update Date2011-07-18
Business Address
DR. RYAN DOUGLAS SMITH DMD
24 E 3RD S
SAINT ANTHONY, ID 83445-1809
Phone number: 208-624-4322
Mailing Address
DR. RYAN DOUGLAS SMITH DMD
24 E 3RD S
SAINT ANTHONY, ID 83445-1809
Phone number: 208-624-4322