Individual
DR. TIMOTHY RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4122 QUEST DR, EUGENE, OR 97402-8768
(541) 844-1667
(541) 505-8463
Mailing address
4122 QUEST DR, EUGENE, OR 97402-8768
(541) 844-1667
(541) 505-8463
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
9577
OR
Other
Enumeration date
07/28/2009
Last updated
04/12/2012
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