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1396965018
ELIZABETH DOCKERTY SMITH
STAR, ID
NPI
1396965018
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics
(Licence: IN 12010466A)
Enumeration Date
2007-04-26
Last Update Date
2023-01-25
Business Address
Dr. ELIZABETH DOCKERTY SMITH DDS, MSD
9876 W STATE ST
STAR, ID 83669-5210
Phone number: 208-898-0000
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Mailing Address
Dr. ELIZABETH DOCKERTY SMITH DDS, MSD
1151 N CREEKWATER WAY
EAGLE, ID 83616-4853
Phone number: 208-870-5739
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