Individual
MRS. UGENDIESIDETT RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45524 ANDERSON AVE, EL PASO, TX 79904-4211
(803) 917-2597
Mailing address
45524 ANDERSON AVE, EL PASO, TX 79904-4211
(803) 917-2597
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
85738
TX
Other
Enumeration date
08/17/2016
Last updated
08/17/2016
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