Individual
MRS. ELIZABETH ANN RICHARDSON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
2776 RINGGOLD RD, FT. SILL, OK 73503
(580) 442-3315
Mailing address
3102 NE MAYFLOWER AVE, LAWTON, OK 73507-3456
(580) 351-0317
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
1929
TX
Other
Enumeration date
01/27/2006
Last updated
07/08/2007
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