| Smiles 4 Kids, Llc | |
|
1411 Falls Ave E Ste 1000c Twin Falls ID 83301-3459 | |
| (208) 734-7415 | |
| (208) 733-1922 |
| Full Name | Smiles 4 Kids, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 1411 Falls Ave E Ste 1000c, Twin Falls, Idaho |
| Authorized Official Name and Position | Trevor Smith (OWNER) |
| Authorized Official Contact | 2087347415 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Smiles 4 Kids, Llc 1411 Falls Ave E Ste 1000c Twin Falls ID 83301-3459 Ph: (208) 734-7415 | Smiles 4 Kids, Llc 1411 Falls Ave E Ste 1000c Twin Falls ID 83301-3459 Ph: (208) 734-7415 |
| NPI Number | 1811146327 |
|---|---|
| Provider Enumeration Date | 09/09/2008 |
| Last Update Date | 05/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811146327 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | D-4351-PD (Idaho) | Primary |
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