| Richard Dee Stoker D.m.d., Pllc | |
|
3350 S 15th E Idaho Falls ID 83404-8321 | |
| (208) 522-4700 | |
| Not Available |
| Full Name | Richard Dee Stoker D.m.d., Pllc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 3350 S 15th E, Idaho Falls, Idaho |
| Authorized Official Name and Position | Richard D Stoker (OWNER) |
| Authorized Official Contact | 2085899107 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Richard Dee Stoker D.m.d., Pllc 3350 S 15th E Idaho Falls ID 83404-8321 Ph: (208) 522-4700 | Richard Dee Stoker D.m.d., Pllc 3350 S 15th E Idaho Falls ID 83404-8321 Ph: (208) 522-4700 |
| NPI Number | 1154074623 |
|---|---|
| Provider Enumeration Date | 02/03/2022 |
| Last Update Date | 02/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154074623 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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