Individual
DR. RICHARD WALDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
918 FOREST EDGE AVE, SPRINGFIELD, OH 45503-6816
(937) 399-6424
Mailing address
918 FOREST EDGE AVE, SPRINGFIELD, OH 45503-6816
(937) 399-6424
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
20161
OH
Other
Enumeration date
07/05/2006
Last updated
07/08/2007
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