Individual
RICHARD RAZDOLSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
135 CAPITOL DR, PEWAUKEE, WI 53072-2401
(262) 691-3931
Mailing address
777 N VAN BUREN ST APT 1207, MILWAUKEE, WI 53202-3860
(847) 980-6570
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
1001915-15
WI
Other
Enumeration date
05/29/2018
Last updated
03/21/2019
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