Treasure Valley Family Dentistry PC

NPI #1952484222 in Meridian, Idaho

Provider Information

NPI Number: 1952484222
Entity Type: Organization
Organization Name: Treasure Valley Family Dentistry PC
Primary Specialty: Dentist
Enumeration Date: Oct 23, 2006
Last Updated: Aug 22, 2020

Practice Location

Address: 1570 E HERITAGE PARK STREET
Address 2: SUITE 100
City: Meridian
State: Idaho
ZIP Code: 83646
Phone: (208) 884-8066

Authorized Official

Name: CORY B RICHARDS, DDS
Title: PRESIDENT/DENTIST
Phone: (208) 884-8066

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist	122300000X	Primary

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