Dr. RICHARD DUKE DAVIS DMD
Individual Provider (NPI-1)
Active
Dentist, Periodontics
Provider Information
- NPI Number
1316670698- Provider Type
- Individual Provider (NPI-1)
- Credentials
- DMD
- Status
- Active
Contact & Location
- Address
- 1980 1ST ST, IDAHO FALLS, ID, 834014342
- Phone
- (208) 350-3897
Specialties & Taxonomies
Dentist, Periodontics
License: WY #1703
Dentist, Periodontics
Primary License: ID #7571268