DR. Bruce Levoyle Richardson, DMD01/28/1950

NPI #1982031316 in Portland, Oregon

Provider Information

NPI Number: 1982031316
Entity Type: Individual
Name: DR. Bruce Levoyle Richardson, DMD01/28/1950
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Dentist - General Practice
Credential: DMD01/28/1950
Enumeration Date: Sep 30, 2013
Last Updated: Sep 30, 2013

Practice Location

Address: 3048 SW COMUS ST
City: Portland
State: Oregon
ZIP Code: 97219-7692
Phone: (503) 484-8130

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Dentist - General Practice — General Practice	1223G0001X	Primary

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