Individual
DR. ZACHARY MICHAEL RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
782 S AMERICANA BLVD, BOISE, ID 83702-6733
(208) 345-8962
Mailing address
6144 BIRCH LN, NAMPA, ID 83687-4148
(208) 936-7111
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4579
ID
Other
Enumeration date
06/11/2014
Last updated
04/01/2024
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