NPI | 1255674198 |
---|---|
Doing Business As | RICHARDSON FAMILY DENTISTRY |
Entity Type | Organization |
Authorized Contact | ATHENA MICHELLE RICHARDSON Owner 662-292-0722 |
Organization Subpart ? | No |
Primary Taxonomy | 1223G0001X Dentist, General Practice |
Enumeration Date | 2013-03-28 |
Last Update Date | 2013-03-28 |