Lance Scott Ritchie, D.D.S
Dentist in Boise, ID. Individual provider (NPI-1).
NPI number1861697005
StatusActive
Last updated in NPPESJul 29, 2008
Details
- NPI
- 1861697005
- Entity type
- Individual (NPI-1)
- Name
- Lance Scott Ritchie
- Credential
- D.D.S
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 18, 2007
- Last updated
- Jul 29, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | D-4066 | ID | Yes |
Practice location
480 N Latah StBoise, ID 83706-2630
Phone 208-345-8962
Mailing address
480 N Latah StBoise, ID 83706-2630
Phone 208-345-8962
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