Organization
RICHARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD KELLEY YOST (OWNER)
(781) 944-7899
Entity
Organization
Contact information
Practice address
161 ASH STREET, READING, MA 01867
(781) 944-7899
(781) 944-5203
Mailing address
161 ASH STREET, READING, MA 01867
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9720804
—
MA
Enumeration date
11/09/2006
Last updated
08/22/2020
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