Derrick L Richard, DMD

NPI #1083757702 in Waterloo, Illinois

Provider Information

NPI Number
1083757702
Entity Type
Individual
Name
Derrick L Richard, DMD
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - General Practice
Credential
DMD
Enumeration Date
Feb 14, 2007
Last Updated
Apr 19, 2015

Practice Location

Address
226 WESTVIEW PLAZA DR.
ZIP Code
62298-1253
Phone
(618) 939-4042

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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