Individual
ADAM D RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2017 S WESTERN AVE, MARION, IN 46953-2824
(765) 651-9500
(765) 651-9501
Mailing address
2017 S WESTERN AVE, MARION, IN 46953-2824
(765) 651-9500
(765) 651-9501
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12011444A
IN
Other
Enumeration date
05/24/2010
Last updated
05/24/2010
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