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Individual

WHITNEY M RICHMOND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1908 W CLINTON ST, GOSHEN, IN 46526-1618
(574) 533-9621
Mailing address
1908 W CLINTON ST, GOSHEN, IN 46526-1618
(574) 533-9621

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
12011458A
IN

Other

Enumeration date
08/16/2010
Last updated
08/16/2010
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