John V.d. Richardson, Dds., INC

NPI #1033509435 in Corcoran, California

Provider Information

NPI Number
1033509435
Entity Type
Organization
Organization Name
John V.d. Richardson, Dds., INC
Subpart
Yes (part of a larger organization)
Parent Organization
JOHN V.D. RICHARDSON DDS., INC
Primary Specialty
Clinic/Center - Dental
Enumeration Date
Jan 23, 2015
Last Updated
Jan 23, 2015

Practice Location

Address
1409 WHITLEY AVE
Address 2
SUITE D
ZIP Code
93212-2223
Phone
(559) 992-4138

Authorized Official

Name
DR. JOHN VERNON DALE RICHARDSON, DDS.
Title
PRESIDENT
Phone
(559) 992-4138

Specialties & Taxonomy Codes

Specialty
Clinic/Center - DentalDental

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