| NPI | 1558584755 |
|---|---|
| Former Legal Business Name | JOHN F. RICHARDSON, DDS SC |
| Entity Type | Organization |
| Authorized Contact | CINDY WILSON Receptionist 920-235-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 122300000X Dentist |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |