RYAN HENDERSON ARCHIBALD

BOISE, ID
NPI1972349975
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy122300000X Dentist
(Licence: ID  6571486)
Additional Taxonomies122300000X Dentist
(Licence: AZ  D012168)
Enumeration Date2024-07-08
Last Update Date2026-01-13
Business Address
Dr. RYAN HENDERSON ARCHIBALD DMD
2803 N BOGUS BASIN RD
BOISE, ID 83702-0913
Phone number: 208-343-1393
Mailing Address
Dr. RYAN HENDERSON ARCHIBALD DMD
2150 E BELL RD UNIT 1123
PHOENIX, AZ 85022-2978
Phone number:
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