| NPI | 1417325341 |
|---|---|
| Doing Business As | RICHMOND AVENUE FAMILY DENTAL |
| Entity Type | Organization |
| Authorized Contact | LINDSEY R GARDNER President 281-802-3426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist General Practice |
| Enumeration Date | 2015-09-09 |
| Last Update Date | 2015-09-09 |