LEROY RICHARDSON

CHECOTAH, OK
NPI1659438653
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy122300000X Dentist
(Licence: OK  5986)
Additional Taxonomies122300000X Dentist
(Licence: MO  11482)
Enumeration Date2007-01-02
Last Update Date2008-01-16
Business Address
Dr. LEROY RICHARDSON DDS
100 NW 9TH ST
CHECOTAH, OK 74426
Phone number: 918-473-3700
Mailing Address
Dr. LEROY RICHARDSON DDS
100 NW 9TH ST PO BOX 328
CHECOTAH, OK 74426
Phone number: 918-473-3700
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