CODY RICHARDSON

LAGRANGE, IN
NPI1114610201
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1223G0001X Dentist, General Practice
(Licence: IN  12014117A)
Enumeration Date2023-06-02
Last Update Date2023-06-02
Business Address
Dr. CODY RICHARDSON DMD
612 S DETROIT ST
LAGRANGE, IN 46761-2314
Phone number: 260-463-2111
Mailing Address
Dr. CODY RICHARDSON DMD
7075 N 850 E
HOWE, IN 46746-9598
Phone number:
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