MEDICARE: DARRIN P RICH DDS PS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QD0000X	Dental Clinic/Center	DE 00011250	WA

General Provider Information

NPI Number	:	1477715498
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DARRIN P RICH DDS PS

Provider Business Mailing Address
First Line	:	1120 N PINES RD STE D
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4942
Country	:	US
Telephone Number	:	509-891-7118
Fax Number	:	509-891-7554

Provider Business Practice Location Address
First Line	:	1120 N PINES RD STE D
Second Line	:
City	:	SPOKANE VALLEY
State	:	WA
Zip	:	99206-4942
Country	:	US
Telephone Number	:	509-891-7118
Fax Number	:	509-891-7554

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. DARRIN PETER RICH
Credential	:	DDS
Telephone Number	:	509-922-4383

Provider Enumeration Date	:	07/01/2008
Last Update Date	:	07/01/2008

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