Individual
DR. MICHAEL RAY RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.S.
Contact information
Practice address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-4850
Mailing address
1761 N 2000 W, FARR WEST, UT 84404-9541
(801) 731-4850
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8718587-9921
UT
Other
Enumeration date
04/10/2014
Last updated
04/10/2014
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