Organization
J J RICHARDSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JIMMY J RICHARDSON DDS (OWNER)
(405) 799-7071
Entity
Organization
Contact information
Practice address
840 SE 4TH ST, SUITE 3A, MOORE, OK 73160-7263
(405) 799-7071
Mailing address
840 SE 4TH ST, SUITE 3A, MOORE, OK 73160-7263
(405) 799-7071
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5126
OK
Other
Enumeration date
04/22/2008
Last updated
04/22/2008
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