Cr Smiles - Meridian Dental Care LLC

NPI #1306314323 in Meridian, Idaho

Provider Information

NPI Number: 1306314323
Entity Type: Organization
Organization Name: Cr Smiles - Meridian Dental Care LLC
Primary Specialty: Dentist - General Practice
Enumeration Date: Nov 7, 2018
Last Updated: Dec 4, 2018

Practice Location

Address: 1500 W CAYUSE CREEK DR
Address 2: #100
City: Meridian
State: Idaho
ZIP Code: 83646
Phone: (208) 893-5435

Authorized Official

Name: DR. CALVIN C BROWN JR., DDS
Title: SOLE MEMBER
Phone: (248) 798-7708

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Dental — Dental	261QD0000X
Dentist - General Practice — General Practice	1223G0001X	Primary

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