# EUGENE KIDS' DENTIST, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** A Kidz Dental Zone of Eugene, LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366738858
- **Authorized official:** TIMOTHY RICHARDSON DDS (DR. / OWNER)
- **Authorized official phone:** (541) 844-1667

## Contact information

- **Practice address:** 4122 QUEST DR., EUGENE, OR 97402
- **Practice address phone:** (541) 844-1667
- **Mailing address:** 4122 QUEST DR., EUGENE, OR 97402
- **Mailing address phone:** (541) 844-1667

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223P0221X | Pediatric Dentistry | — | NULL | Yes |
| 1223P0221X | Pediatric Dentistry | — | — | Yes |

## Other

- **Enumeration date:** 06/22/2011
- **Last updated:** 06/17/2014