NPI | 1083890222 |
---|---|
Other Name | EFFIE RICHARDSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: LA 6833) |
Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS037398) |
1223P0221X Dentist, Pediatric Dentistry (Licence: PA DS037398) | |
Enumeration Date | 2008-01-17 |
Last Update Date | 2018-03-27 |