Organization
LEOTIS RICHARDSON III, DDS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEOTIS RICHARDSON III DDS (OWNER)
(501) 327-6638
Entity
Organization
Contact information
Practice address
1105 COLLIER DR, CONWAY, AR 72032-8588
(501) 327-6638
Mailing address
1105 COLLIER DR, CONWAY, AR 72032-8588
(501) 327-6638
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
—
Other
Enumeration date
02/19/2011
Last updated
02/19/2011
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