DR. Jack Melvin Richard, DDS
NPI #1225258726 in Battle Ground, Washington
Provider Information
- NPI Number
- 1225258726
- Entity Type
- Individual
- Name
- DR. Jack Melvin Richard, DDS
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist
- Credential
- DDS
- Enumeration Date
- Apr 26, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 15 SW 20TH AVENUE
- City
- Battle Ground
- State
- Washington
- ZIP Code
- 98604
- Phone
- (360) 687-5665
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist |
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