Individual
DR. KURT NATHAN RICHESON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
1001 N LAKE SHORE DR, CULVER, IN 46511-1209
(574) 842-3465
(574) 842-3933
Mailing address
900 N LAKE SHORE DR, CULVER, IN 46511-1208
(574) 842-4194
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12010186A
IN
Other
Enumeration date
05/04/2006
Last updated
07/09/2007
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