Individual
DR. TORIE LYNN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
2204 S PARK AVE, ALEXANDRIA, IN 46001-8059
(765) 724-7729
(765) 724-9519
Mailing address
2204 S PARK AVE, ALEXANDRIA, IN 46001-8059
(765) 724-7729
(765) 724-9519
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
12012693A
IN
Other
Enumeration date
05/24/2017
Last updated
11/20/2018
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