Individual
THOMAS H RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1235 LAKE PLAZA DR, SUITE 124, COLORADO SPRINGS, CO 80906-3581
(719) 576-1566
Mailing address
1235 LAKE PLAZA DR, SUITE 124, COLORADO SPRINGS, CO 80906-3581
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
274
CO
Other
Enumeration date
06/07/2006
Last updated
07/08/2007
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