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Organization
TWO RIVERS PEDIATRIC DENTISTRY, L.L.C.
Active
Organization
TWO RIVERS PEDIATRIC DENTISTRY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN J RICHARDS D.D.S. (DENTIST)
(309) 797-3020
Entity
Organization
Contact information
Practice address
1872 AVENUE OF THE CITIES, MOLINE, IL 61265
(309) 797-3020
(309) 797-3212
Mailing address
1872 AVENUE OF THE CITIES, MOLINE, IL 61265-4878
(309) 797-3020
(309) 797-3212
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019025264
IL
Other
Enumeration date
02/22/2010
Last updated
02/22/2010
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