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Organization
RICHARDSON CENTER FOR ORAL & FACIAL SURGERY PC
Active
Organization
RICHARDSON CENTER FOR ORAL & FACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL T RICHARDSON MD, DMD (OWNER)
(410) 796-3333
Entity
Organization
Contact information
Practice address
6865 DEERPATH RD, DORSEY STATION, SUITE 302, ELKRIDGE, MD 21075-6257
(410) 796-3333
(410) 796-3375
Mailing address
6865 DEERPATH RD, DORSEY STATION, SUITE 302, ELKRIDGE, MD 21075-6257
(410) 796-3333
(410) 796-3375
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14259
MD
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
D0067181
MD
Other
Enumeration date
07/17/2009
Last updated
07/17/2009
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