Provider Demographics
NPI:1477715498
Name:DARRIN P RICH DDS PS
Entity type:Organization
Organization Name:DARRIN P RICH DDS PS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DARRIN
Authorized Official - Middle Name:PETER
Authorized Official - Last Name:RICH
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:509-922-4383
Mailing Address - Street 1:1120 N PINES RD STE D
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99206-4942
Mailing Address - Country:US
Mailing Address - Phone:509-891-7118
Mailing Address - Fax:509-891-7554
Practice Address - Street 1:1120 N PINES RD STE D
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-4942
Practice Address - Country:US
Practice Address - Phone:509-891-7118
Practice Address - Fax:509-891-7554
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-01
Last Update Date:2008-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE 00011250261QD0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental