# USTICK DENTAL OFFICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740454388
- **Authorized official:** DR. VINCENT RIGBY DDS (OWNER)
- **Authorized official phone:** (208) 375-8720

## Contact information

- **Practice address:** 9733 USTICK ROAD, BOISE, ID 83704
- **Practice address phone:** (208) 376-8720
- **Practice address fax:** (208) 375-8734
- **Mailing address:** 9733 USTICK ROAD, BOISE, ID 83704
- **Mailing address phone:** (208) 376-8720
- **Mailing address fax:** (208) 375-8734

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2008
- **Last updated:** 04/15/2008