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NPI Code Detail

MEDICARE: PROF. MONTY RAY RIEGER DDS-PHD

MEDICARE:  PROF. MONTY RAY RIEGER  DDS-PHD
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
11223G0001XGeneral Practice Dentistry19908TX

General Provider Information

NPI Number : 1952526519
Entity Type Code : Individual
Provider Name (Legal Business Name) : PROF. MONTY RAY RIEGER DDS-PHD
Provider Business Mailing Address
First Line : 618B W 1ST ST
Second Line :
City : WAPATO
State : WA
Zip : 98951-1108
Country : US
Telephone Number : 509-877-3243
Fax Number :
Provider Business Practice Location Address
First Line : 618B W 1ST ST
Second Line :
City : WAPATO
State : WA
Zip : 98951-1108
Country : US
Telephone Number : 509-877-3243
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/17/2007
Last Update Date : 07/08/2007

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Directions to “ PROF. MONTY RAY RIEGER DDS-PHD” Practice Location

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