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Individual
RICHARD CARDOSO
Active
Individual
RICHARD CARDOSO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
21380
MA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
27508
TX
Other
Enumeration date
03/29/2006
Last updated
02/01/2012
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