Glenn Urban Richey, D.D.S.

NPI #1922236405 in Orofino, Idaho

Provider Information

NPI Number
1922236405
Entity Type
Individual
Name
Glenn Urban Richey, D.D.S.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Dentist - General Practice
Credential
D.D.S.
Enumeration Date
Jun 23, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
13826 HIGHWAY 12
State
Idaho
ZIP Code
83544-9117
Phone
(208) 476-4413

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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