Organization
RIGBY PEDIATRIC DENTAL PLLC
Active
Other names
Rigby Pediatric Dental
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KORY BINGHAM DDS (MANAGING MEMBER)
(208) 716-9724
Entity
Organization
Contact information
Practice address
688 RIGBY LAKE CIRCLE, SUITE 4, RIGBY, ID 83442
(208) 600-0330
Mailing address
PO BOX 191, IONA, ID 83427-0191
(208) 716-9724
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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