Dorothy Jean Richardson

NPI #1376632448 in Poplar Bluff, Missouri

Provider Information

NPI Number: 1376632448
Entity Type: Individual
Name: Dorothy Jean Richardson
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Dental Assistant
Enumeration Date: Oct 12, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 1617 N MAIN ST
City: Poplar Bluff
State: Missouri
ZIP Code: 63901-3445
Phone: (573) 778-3042

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dental Assistant	126800000X	Primary

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