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1770694150
MICHEAL L. RICHARDSON
SOUTH CHARLESTON, WV
NPI
1770694150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: WV 3103)
Enumeration Date
2006-08-31
Last Update Date
2007-07-08
Business Address
Dr. MICHEAL L. RICHARDSON DDS
1000 PARKWAY RD
SOUTH CHARLESTON, WV 25309-9418
Phone number: 304-744-9717
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Mailing Address
Dr. MICHEAL L. RICHARDSON DDS
PO BOX 58400
CHARLESTON, WV 25358-0400
Phone number: 304-744-9717
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