Individual
DR. RYAN HENDERSON ARCHIBALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
2803 N BOGUS BASIN RD, BOISE, ID 83702-0913
(208) 343-1393
Mailing address
2150 E BELL RD UNIT 1123, PHOENIX, AZ 85022-2978
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
6571486
ID
122300000X
Dentist
D012168
AZ
Other
Enumeration date
07/08/2024
Last updated
01/13/2026
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