Individual
RICHARD L INGRAHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
5525 S STAPLES ST STE C, CORPUS CHRISTI, TX 78411-5366
(361) 992-4746
Mailing address
5525 S STAPLES ST STE C, CORPUS CHRISTI, TX 78411-5366
(361) 992-4746
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
8441
TX
Other
Enumeration date
06/18/2008
Last updated
06/18/2008
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