Individual
DR. DANIEL D RICHARDS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
204 W INTERLAKE BLVD, LAKE PLACID, FL 33852-9639
(836) 465-6767
Mailing address
204 W INTERLAKE BLVD, LAKE PLACID, FL 33852-9639
(836) 465-6767
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7400
FL
Other
Enumeration date
06/22/2008
Last updated
06/22/2008
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