Individual
DR. RICHARD HUGH WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
US HWY 160 AND NAVAJO RT. 135, RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5216
(928) 656-5201
Mailing address
US HWY 160 AND NAVAJO RT. 135, RED MESA, TEECNOSPOS, AZ 86514
(928) 656-5216
(928) 656-5201
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
25305
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25305
DENTAL LICENSE
CA
Enumeration date
03/19/2009
Last updated
09/08/2011
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