Bruce W Richardson, D.D.S.

NPI #1306959424 in Meridian, Idaho

Provider Information

NPI Number
1306959424
Entity Type
Individual
Name
Bruce W Richardson, D.D.S.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Dentist - Periodontics
Credential
D.D.S.
Enumeration Date
Aug 15, 2006
Last Updated
Jul 8, 2007

Practice Location

Address
317 W CHERRY LN
State
Idaho
ZIP Code
83642-1608
Phone
(208) 888-2055

Specialties & Taxonomy Codes

Specialty
Dentist - PeriodonticsPeriodontics

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