Organization
TREASURE VALLEY FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY B RICHARDS DDS (PRESIDENT/DENTIST)
(208) 884-8066
Entity
Organization
Contact information
Practice address
1570 E HERITAGE PARK STREET, SUITE 100, MERIDIAN, ID 83646
(208) 884-8066
(208) 884-4809
Mailing address
1570 E HERITAGE PARK STREET, SUITE 100, MERIDIAN, ID 83646
(208) 884-8066
(208) 884-4809
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
D3533
ID
Other
Enumeration date
10/23/2006
Last updated
08/22/2020
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