Legacy Smiles Family Dental, Pllc

NPI #1275646259 in Meridian, Idaho

Provider Information

NPI Number: 1275646259
Entity Type: Organization
Organization Name: Legacy Smiles Family Dental, Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Aug 16, 2006
Last Updated: May 12, 2016

Practice Location

Address: 1180 N OLIVE AVE
City: Meridian
State: Idaho
ZIP Code: 83642-5920
Phone: (208) 888-3311

Authorized Official

Name: BRAD J WILLIAMS, DDS
Title: PARTNER
Phone: (208) 888-3311

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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