Jordan Richert Dmd, PC

NPI #1306466172 in Lafayette, California

Provider Information

NPI Number: 1306466172
Entity Type: Organization
Organization Name: Jordan Richert Dmd, PC
Primary Specialty: Dentist - Periodontics
Enumeration Date: Apr 22, 2020
Last Updated: Dec 21, 2020

Practice Location

Address: 895 MORAGA RD STE 6
City: Lafayette
State: California
ZIP Code: 94549-5039
Phone: (925) 283-8101

Authorized Official

Name: DR. JORDAN RICHERT, DMD
Title: PRESIDENT
Phone: (480) 358-8489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - Periodontics — Periodontics	1223P0300X	Primary

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