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1821424110
WILLIE J RICHARDSON
BALTIMORE, MD
NPI
1821424110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: MD 5676)
Enumeration Date
2013-09-19
Last Update Date
2013-09-19
Business Address
-- WILLIE J RICHARDSON D.D.S.
5418 PARK HEIGHTS AVE
BALTIMORE, MD 21215-4645
Phone number: 410-542-6900
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Mailing Address
-- WILLIE J RICHARDSON D.D.S.
5418 PARK HEIGHTS AVE
BALTIMORE, MD 21215-4645
Phone number: 410-542-6900
Copy
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