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1942370887
RICHARD GLENN MYATT
LAKE ELSINORE, CA
NPI
1942370887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: CA 17975)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
Dr. RICHARD GLENN MYATT D.D.S.
31737 RIVERSIDE DR SUITE B
LAKE ELSINORE, CA 92530-7890
Phone number: 951-674-8707
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Mailing Address
Dr. RICHARD GLENN MYATT D.D.S.
31737 RIVERSIDE DRIVE SUITE B
LAKE ELSINORE, CA 92530-7890
Phone number: 951-674-8707
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