Individual
DR. RICHARD RYAN DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
9502 W FAIRVIEW AVE, BOISE, ID 83704-8103
(208) 377-2223
Mailing address
24239 EL PASO RD, CALDWELL, ID 83607-5524
(208) 440-7384
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
08711
IA
1223G0001X
General Practice Dentistry
Primary
D4373
ID
Other
Enumeration date
06/25/2010
Last updated
03/17/2018
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