Organization
DR. TAWNY RICHARDS, DDS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAWNY RICHARDS (OWNER)
(000) 000-0000
Entity
Organization
Contact information
Practice address
1125 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046-8655
(305) 434-2424
Mailing address
PO BOX 462037, 1125 N FAIRFAX AVE, WEST HOLLYWOOD, CA 90046
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
09/18/2023
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