NPI 1346300456

Richard Lee George, DDS

Practitioner Dentist Moscow, ID

Practice location

Address: 1046 Wallen Rd, Moscow, ID 83843-8458
Phone: (208) 882-4990
Fax: (208) 882-4990

Registered specialties

Dentist Primary

Dental Providers Taxonomy 122300000X Licence D1590 (ID)

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Registry record

NPI: 1346300456
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Dec 2006
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.