Individual
DR. RYON GRANT SCHOFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
8912 N HESS ST, HAYDEN, ID 83835-9183
(208) 762-4331
(208) 762-7488
Mailing address
PO BOX 1688, HAYDEN, ID 83835-1688
(208) 762-4331
(208) 762-7488
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-3644
ID
Other
Enumeration date
07/19/2006
Last updated
07/08/2007
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