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1760814735
SPENCER RAYMOND RICHARDS
OMAHA, NE
NPI
1760814735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: NE 7113)
Additional Taxonomies
122300000X Dentist
(Licence: IA 09333)
Enumeration Date
2013-08-01
Last Update Date
2016-12-20
Business Address
-- SPENCER RAYMOND RICHARDS D.D.S.
2002 VINTON ST
OMAHA, NE 68108-1921
Phone number: 402-341-5306
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Mailing Address
-- SPENCER RAYMOND RICHARDS D.D.S.
2002 VINTON ST
OMAHA, NE 68108-1921
Phone number: 402-341-5306
Copy
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