Individual
TREMAYNE L RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
712 SAXONY LAKE DR, ANTIOCH, TN 37013-6701
(434) 480-6526
Mailing address
712 SAXONY LAKE DR, ANTIOCH, TN 37013-6701
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401415683
VA
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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