Individual
DR. WYATT L. RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
4225 BONNIEBANK ROAD, RICHMOND, VA 23234-6601
(804) 271-1443
Mailing address
4225 BONNIEBANK ROAD, RICHMOND, VA 23234-6601
(804) 271-1443
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
0401003773
VA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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