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Individual

DR. MELZAR THAYER RICHARDS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS

Contact information

Practice address
22 ARROWWOOD DR, STE C, ITHACA, NY 14850
(607) 257-1010
(607) 257-1982
Mailing address
22 ARROWWOOD DR, STE C, ITHACA, NY 14850-1857
(607) 257-1010
(607) 257-1982

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
0312601
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00420902
NY
Enumeration date
09/15/2006
Last updated
07/08/2007
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