Rigby Pediatric Dental Pllc

NPI #1124657010 in Rigby, Idaho

Provider Information

NPI Number
1124657010
Entity Type
Organization
Organization Name
Rigby Pediatric Dental Pllc
Primary Specialty
Dentist - Pediatric Dentistry
Enumeration Date
Apr 3, 2020
Last Updated
Apr 3, 2020

Practice Location

Address
688 RIGBY LAKE CIRCLE, SUITE 4
City
Rigby
State
Idaho
ZIP Code
83442
Phone
(208) 600-0330

Authorized Official

Name
DR. KORY BINGHAM, DDS
Title
MANAGING MEMBER
Phone
(208) 716-9724

Specialties & Taxonomy Codes

Specialty
Dentist - Pediatric DentistryPediatric Dentistry

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