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1225326747
RYAN DOUGLAS SMITH
SAINT ANTHONY, ID
NPI
1225326747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D-4364)
Enumeration Date
2011-07-18
Last Update Date
2011-07-18
Business Address
Dr. RYAN DOUGLAS SMITH DMD
24 E 3RD S
SAINT ANTHONY, ID 83445-1809
Phone number: 208-624-4322
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Mailing Address
Dr. RYAN DOUGLAS SMITH DMD
24 E 3RD S
SAINT ANTHONY, ID 83445-1809
Phone number: 208-624-4322
Copy
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