Individual
ROBERT DEREK RICHESIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
3920 GRANTS MILL RD, BIRMINGHAM, AL 35210-1204
(205) 956-8977
(205) 956-8340
Mailing address
3920 GRANTS MILL RD, BIRMINGHAM, AL 35210-1204
(205) 956-8977
(205) 956-8340
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
AL4541
AL
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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