Richard Lee George, DDS

NPI #1346300456 in Moscow, Idaho

Provider Information

NPI Number: 1346300456
Entity Type: Individual
Name: Richard Lee George, DDS
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: DDS
Enumeration Date: Dec 11, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1046 WALLEN RD
City: Moscow
State: Idaho
ZIP Code: 83843-8458
Phone: (208) 882-4990

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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