Individual
DR. ROGER W RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
185 OAKBROOKE CIRCLE, SUITE 1, MT. WASHINGTON, KY 40047
(502) 538-0363
(502) 538-0362
Mailing address
185 OAKBROOKE CIRCLE, SUITE 1, MT. WASHINGTON, KY 40047
(502) 538-0363
(502) 538-0362
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5862
KY
Other
Enumeration date
01/16/2006
Last updated
10/21/2014
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