Organization
RICHARDSON DMD, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM RICHARDSON DMD (PRESIDENT)
(907) 229-5778
Entity
Organization
Contact information
Practice address
412 E PIONEER AVE, SUITE #2, HOMER, AK 99603-7621
(907) 226-2218
Mailing address
412 E PIONEER AVE, SUITE #2, HOMER, AK 99603-7621
(907) 226-2218
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
1039387
AK
Other
Enumeration date
10/21/2016
Last updated
10/21/2016
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