Individual
DR. RICHARD WARNICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1722 MAIN AVE, ST MARIES, ID 83861-1237
(208) 245-2242
Mailing address
1722 MAIN AVE, ST MARIES, ID 83861-1237
(208) 245-2242
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-4976
ID
Other
Enumeration date
07/28/2015
Last updated
03/11/2021
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