Advantage Dental Center

NPI #1952560278 in Meridian, Idaho

Provider Information

NPI Number: 1952560278
Entity Type: Organization
Organization Name: Advantage Dental Center
Primary Specialty: Dentist - General Practice
Enumeration Date: Jun 2, 2008
Last Updated: Jun 2, 2008

Practice Location

Address: 100 W OVERLAND RD
City: Meridian
State: Idaho
ZIP Code: 83642-3051
Phone: (208) 884-0888

Authorized Official

Name: DR. LESTER ALBERT RICHINS, D.M.D.
Title: DOCTOR/OWNER
Phone: (208) 884-0888

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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