Individual
DOROTHY JEAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1617 N MAIN ST, POPLAR BLUFF, MO 63901-3445
(573) 778-3042
(573) 778-9432
Mailing address
21818 COUNTY ROAD 312, CLARKTON, MO 63837-8197
(573) 448-3460
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
10/12/2006
Last updated
07/08/2007
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