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Organization
K.A. RICHARDT DDS A PROFESSIONAL CORP
Active
Organization
K.A. RICHARDT DDS A PROFESSIONAL CORP
Active
Parent organization
K.A. RICHARDT DDS A PROFESSIONAL CORPORATION
Other names
Barstow Dental Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
K.A. RICHARDT DDS A PROFESSIONAL CORPORATION
Authorized official
KAREN ANN RICHARDT DDS (PRESIDENT)
(760) 256-7777
Entity
Organization
Contact information
Practice address
307 EAST BUENA VISTA STREET, BARSTOW, CA 92311-1052
(760) 256-7777
(760) 256-1899
Mailing address
P.O. BOX 10, 307 EAST BUENA VISTA STREET, BARSTOW, CA 92311-1052
(760) 256-7777
(760) 256-1899
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
B34410
CA
Other
Enumeration date
04/09/2007
Last updated
06/24/2009
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