Individual
NATALEE MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
6518 WINFORD AVE, FAIRFIELD TOWNSHIP, OH 45011-0547
(513) 712-9642
Mailing address
6518 WINFORD AVE, FAIRFIELD TOWNSHIP, OH 45011-0547
(513) 712-9642
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.027624
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/16/2023
Last updated
10/13/2024
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