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Individual

DR. RICHARD ULRICH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4212 N 16TH ST, PHOENIX, AZ 85016-5319
(602) 263-1200
(602) 263-1619
Mailing address
PO BOX 95460, CLEVELAND, OH 44101-0033
(602) 581-6076
(602) 263-1619

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
019016300
IL
1223G0001X
General Practice Dentistry
Primary
D008917
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699986976
IL
Enumeration date
07/23/2010
Last updated
04/21/2026
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