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Organization

W. RICHARD TEETERS, LLC

Active
Parent organization
W. RICHARD TEETERS
Organization subpart
Yes

Provider details

NPI number
Legal business name
W. RICHARD TEETERS
Authorized official
RICHARD TEETERS D.C. (OWNER CHIROPRACTOR)
(937) 252-4400
Entity
Organization

Contact information

Practice address
1353 WOODMAN DR, DAYTON, OH 45432-3425
(937) 252-4400
(937) 252-4402
Mailing address
1353 WOODMAN DR, DAYTON, OH 45432-3425
(937) 252-4400
(937) 252-4402

Taxonomy

Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
754
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0981988
OH
Enumeration date
01/29/2008
Last updated
06/24/2011
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