DR. Lee R. Reddish, D.D.S.

NPI #1386716041 in Pocatello, Idaho

Provider Information

NPI Number: 1386716041
Entity Type: Individual
Name: DR. Lee R. Reddish, D.D.S.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dentist
Credential: D.D.S.
Enumeration Date: Nov 15, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1980 BIRDIE THOMPSON DR
City: Pocatello
State: Idaho
ZIP Code: 83201-2755
Phone: (208) 233-8750

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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