Richardspn Dental Professionals
NPI #1306232764 in Richardson, Texas
Provider Information
- NPI Number
- 1306232764
- Entity Type
- Organization
- Organization Name
- Richardspn Dental Professionals
- Primary Specialty
- Preferred Provider Organization
- Enumeration Date
- Apr 13, 2015
- Last Updated
- Apr 13, 2015
Practice Location
- Address
- 700 E CAMPBELL RD
- Address 2
- STE. #240
- City
- Richardson
- State
- Texas
- ZIP Code
- 75081-2041
- Phone
- (972) 690-6653
Authorized Official
- Name
- DR. KERRY MAXWELL GOAD, DDS
- Title
- GENERAL DENTIST
- Phone
- (972) 690-6653
Specialties & Taxonomy Codes
| Specialty |
|---|
| Preferred Provider Organization |
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