Individual
DR. KRISTA ALLEN RICHEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S., M.S.
Contact information
Practice address
1105 12TH ST SE, SALEM, OR 97302-2810
(503) 363-5865
Mailing address
506 WELCOME WAY SE, SALEM, OR 97302-3932
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7636
OR
Other
Enumeration date
08/16/2006
Last updated
03/02/2012
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