RANDALL G. SMITH

AMMON, ID
NPI1659412724
Professional NameRANDY G. SMITH
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1223P0221X Dentist, Pediatric Dentistry
(Licence: ID  D3257PD)
Enumeration Date2007-02-09
Last Update Date2024-04-08
Business Address
Dr. RANDALL G. SMITH
2805 EAGLE DRIVE
AMMON, ID 83406
Phone number: 208-542-1333
Mailing Address
Dr. RANDALL G. SMITH
2805 EAGLE DRIVE
AMMON, ID 83406
Phone number: 208-542-1333
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