| NPI | 1518957885 |
|---|---|
| Professional Name | ELISHA R. RICHARDSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: TN DS0000001456) |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2007-07-08 |