MARK ELLSWORTH SMITH

MERIDIAN, ID
NPI1366520827
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223G0001X Dentist General Practice
(Licence: ID  D-1463)
Enumeration Date2006-11-01
Last Update Date2007-07-08
Business Address
DR. MARK ELLSWORTH SMITH D.D.S. P.C.
2320 E GALA ST 200
MERIDIAN, ID 83642-7091
Phone number: 208-846-8847
Mailing Address
DR. MARK ELLSWORTH SMITH D.D.S. P.C.
2320 E. GALA ST. 200
MERIDIAN, ID 83642-4880
Phone number: 208-846-8847
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