Individual
RICHARD MICHAUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2363 E BASELINE RD, GILBERT, AZ 85234-2357
(480) 558-1400
Mailing address
2363 E BASELINE RD, GILBERT, AZ 85234-2357
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
D7747
AZ
Other
Enumeration date
11/18/2007
Last updated
10/22/2009
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