Ryan Rediger DMD

NPI 1013103985 - Dentist - 122300000X

NPI Details
NPI 1013103985
Gender Male
Enumeration Date 09/24/2007
Last Updated 05/11/2015
Entity Type Individual
Active Over 9 years ago
Practice Location
943 W IRONWOOD DR
COEUR D ALENE ID, 83814-4904, US
Phone (208) 660-3069
Fax
Business Location
6950 NE CAMPUS WAY
HILLSBORO OR, 97124-5611, US
Phone
Fax
Toxanomy
Taxonomy Code 122300000X
License State Idaho
License Number 4479
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According to our database, Dr. Ryan Rediger DMD NPI is 1013103985, taxonomy code is 122300000X and license number is 4479, license state is located at Idaho. Ryan Rediger DMD physically located at 943 W Ironwood Dr, Coeur D Alene ID, 83814-4904. NPI Number Ryan Rediger DMD has the Individual type.

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1013103985 NPI number is provided on an as is basis without warranty of any kind. 1013103985 is maintained by the National Plan & Provider Enumeration System. The contents of Ryan Rediger DMD are for informational purposes only.