Organization
RICHARD DEE STOKER D.M.D., PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIM L WOOD (RECEPTIONIST)
(208) 522-4700
Entity
Organization
Contact information
Practice address
3350 S 15TH E, IDAHO FALLS, ID 83404-8321
(208) 522-4700
(208) 522-5416
Mailing address
3350 S 15TH E, IDAHO FALLS, ID 83404-8321
(208) 522-4700
(208) 522-5416
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D-4417
ID
Other
Enumeration date
09/07/2012
Last updated
09/07/2012
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