| NPI | 1306232764 |
|---|---|
| Doing Business As | RICHARDSON COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | KERRY MAXWELL GOAD General Dentist 972-690-6653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: TX 11808) |
| Enumeration Date | 2015-04-13 |
| Last Update Date | 2015-04-13 |