Organization
EUGENE KIDS' DENTIST, LLC
Active
Other names
A Kidz Dental Zone of Eugene, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY RICHARDSON DDS (DR. / OWNER)
(541) 844-1667
Entity
Organization
Contact information
Practice address
4122 QUEST DR., EUGENE, OR 97402
(541) 844-1667
Mailing address
4122 QUEST DR., EUGENE, OR 97402
(541) 844-1667
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
—
—
Other
Enumeration date
06/22/2011
Last updated
06/17/2014
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