DR. Glen Allen Smith, DDS MS

NPI #1154338812 in Boise, Idaho

Provider Information

NPI Number
1154338812
Entity Type
Individual
Name
DR. Glen Allen Smith, DDS MS
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Orthodontics and Dentofacial Orthopedics
Credential
DDS MS
Enumeration Date
Aug 2, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
4725 N CLOVERDALE RD
City
Boise
State
Idaho
ZIP Code
83713
Phone
(208) 323-4458

Specialties & Taxonomy Codes

Specialty
Dentist - Orthodontics and Dentofacial OrthopedicsOrthodontics and Dentofacial Orthopedics

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