Richard E. Bailey, D.M.D. Valid NPI

Individual provider · General Practice Dentistry · Moscow, ID

NPI

1083827083

Type

Individual (Type 1)

Primary specialty

General Practice Dentistry (Dentist)

Specialty group

Dental Providers

Taxonomy code

1223G0001X

License number

D-3256 (ID)

Sex

Male

Sole proprietor

Yes

Enumerated

2007-05-07

Last updated

2016-01-04