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Individual

DR. JORDAN CHAY RICHERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DMD

Contact information

Practice address
895 MORAGA RD STE 6, LAFAYETTE, CA 94549-5039
(925) 283-8101
Mailing address
311 OAK ST APT 740, OAKLAND, CA 94607-4627
(480) 358-8489

Taxonomy

Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
102191
CA

Other

Enumeration date
05/09/2013
Last updated
12/16/2020
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