Millennium Family Dental - Meridian Pllc

NPI #1689773525 in Meridian, Idaho

Provider Information

NPI Number: 1689773525
Entity Type: Organization
Organization Name: Millennium Family Dental - Meridian Pllc
Primary Specialty: Dentist - General Practice
Enumeration Date: Sep 21, 2006
Last Updated: Jan 26, 2022

Practice Location

Address: 1848 MILLENIUM WAY
City: Meridian
State: Idaho
ZIP Code: 83642
Phone: (208) 888-2026

Authorized Official

Name: DR. RANDALL B SMITH, DMD
Title: OWNER
Phone: (208) 888-2026

Specialties & Taxonomy Codes

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

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