Individual
MICHAEL GENE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1 BOONE RD, BREMERTON, WA 98312-1894
(425) 304-4092
Mailing address
1 BOONE ROAD, BREMERTON, WA 98312-1898
(425) 304-4092
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Enumeration date
08/30/2017
Last updated
07/21/2022
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