DR. Russell T Richardson, DMD
NPI #1871705335 in Panama City Beach, Florida
Provider Information
- NPI Number
- 1871705335
- Entity Type
- Individual
- Name
- DR. Russell T Richardson, DMD
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Dentist - General Practice
- Credential
- DMD
- Enumeration Date
- May 4, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 17350 PANAMA CITY BEACH PKWY
- State
- Florida
- ZIP Code
- 32413-6039
- Phone
- (850) 230-3364
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - General Practice — General Practice |
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