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1831279538
JUSTIN CRAIG SMITH
PAYETTE, ID
NPI
1831279538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: ID D3526)
Enumeration Date
2006-10-17
Last Update Date
2024-03-20
Business Address
JUSTIN CRAIG SMITH DMD
1105 3RD AVE NORTH
PAYETTE, ID 83661
Phone number: 208-642-9763
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Mailing Address
JUSTIN CRAIG SMITH DMD
1105 3RD AVE NORTH
PAYETTE, ID 83661
Phone number: 208-642-9763
Copy
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