| NPI | 1104142900 |
|---|---|
| Former Name | DAVID JACOB RICHMAN-RAPHAEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1223P0221X Dentist, Pediatric Dentistry (Licence: OR D9732) |
| Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry (Licence: WA DE 60257230) |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2016-10-19 |