Individual
JARED MICHAEL RICHARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4700 UNION DEPOSIT RD STE 210, HARRISBURG, PA 17111-3774
(717) 510-1309
Mailing address
4700 UNION DEPOSIT RD STE 210, HARRISBURG, PA 17111-3774
(717) 545-2003
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS041648
PA
Other
Enumeration date
05/22/2017
Last updated
04/11/2019
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