Individual
AILEEN LOU RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
3226 N MILLER RD, SUITE 1, SCOTTSDALE, AZ 85251
(480) 421-0113
(480) 421-0113
Mailing address
37522 N 22ND ST, PHOENIX, AZ 85086
(623) 742-7993
(480) 421-0115
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
11562
MA
124Q00000X
Dental Hygienist
Primary
2383
AZ
124Q00000X
Dental Hygienist
RDH 15685
CA
Other
Enumeration date
04/24/2007
Last updated
07/08/2007
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