| NPI | 1396348223 |
|---|---|
| Doing Business As | KLUTH RICHARDSON FAMILY AND COSMETIC DENTISTRY |
| Entity Type | Organization |
| Authorized Contact | TORIE LYNN RICHARDSON Dentist 517-206-1618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice |
| Enumeration Date | 2020-11-22 |
| Last Update Date | 2020-11-22 |