Organization
JORDAN RICHERT DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JORDAN RICHERT DMD (PRESIDENT)
(480) 358-8489
Entity
Organization
Contact information
Practice address
895 MORAGA RD STE 6, LAFAYETTE, CA 94549-5039
(925) 283-8101
Mailing address
311 OAK ST APT 740, OAKLAND, CA 94607-4627
(480) 358-8489
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
—
—
Other
Enumeration date
04/22/2020
Last updated
12/21/2020
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