Bevan Richardson
NPI #1770085375 in Rio Linda, California
Provider Information
- NPI Number
- 1770085375
- Entity Type
- Organization
- Organization Name
- Bevan Richardson
- Primary Specialty
- Clinic/Center - Dental
- Enumeration Date
- Feb 28, 2018
- Last Updated
- Feb 28, 2018
Practice Location
- Address
- 851 OAK LN
- City
- Rio Linda
- State
- California
- ZIP Code
- 95673-2341
- Phone
- (916) 991-6402
Authorized Official
- Name
- RENEE DAVIDSON
- Title
- OFFICE ADMINISTRATOR
- Phone
- (916) 991-6402
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Dental — Dental |
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