| NPI | 1588125454 |
|---|---|
| Other Name | KATIE RICHARDSON |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: PA DS042716) |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: KY 10324) |
| 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: TX 35484) | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2020-06-11 |