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1235219361
THOMAS RICHARD SMART
COEUR D ALENE, ID
NPI
1235219361
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: ID D3399)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
Dr. THOMAS RICHARD SMART DDS
1717 LINCOLN WAY SUITE 204
COEUR D ALENE, ID 83814-2556
Phone number: 208-667-0012
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Mailing Address
Dr. THOMAS RICHARD SMART DDS
1717 LINCOLN WAY SUITE 204
COEUR D ALENE, ID 83814-2556
Phone number: 208-667-0012
Copy
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