Individual
RICHARD RICHAUD HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
15324 S LAKE BLUFF DR, DRAPER, UT 84020-5747
(209) 247-8003
Mailing address
15324 S LAKE BLUFF DR, DRAPER, UT 84020-5747
(209) 247-8003
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13346638-9922
UT
Other
Enumeration date
04/18/2023
Last updated
04/18/2023
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