Individual
LESTER ALBERT RICHINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
100 W OVERLAND RD STE A, MERIDIAN, ID 83642-3052
(208) 884-0888
(208) 895-8533
Mailing address
100 W OVERLAND RD STE A, MERIDIAN, ID 83642-3052
(208) 884-0888
(208) 895-8533
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D3186
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6F126
BLUE CROSS OF IDAHO
ID
Enumeration date
08/04/2006
Last updated
07/09/2007
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