Provider Demographics
NPI:1952313769
Name:RIECHERS, GARRON (DDS)
Entity Type:Individual
Prefix:
First Name:GARRON
Middle Name:
Last Name:RIECHERS
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1215 PLUMAS ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:YUBA CITY
Mailing Address - State:CA
Mailing Address - Zip Code:95991-3455
Mailing Address - Country:US
Mailing Address - Phone:530-671-2630
Mailing Address - Fax:530-671-7279
Practice Address - Street 1:1215 PLUMAS ST
Practice Address - Street 2:SUITE 400
Practice Address - City:YUBA CITY
Practice Address - State:CA
Practice Address - Zip Code:95991-3455
Practice Address - Country:US
Practice Address - Phone:530-671-2630
Practice Address - Fax:530-671-7279
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19005122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist