Individual
JAMES RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2205 CHANNING WAY, IDAHO FALLS, ID 83404-8016
(208) 529-4484
Mailing address
2205 CHANNING WAY, IDAHO FALLS, ID 83404-8016
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D-5159
ID
Other
Enumeration date
07/14/2020
Last updated
07/14/2020
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