Individual
PROF. BEVAN MILTON RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
851 OAK LN, RIO LINDA, CA 95673-2341
(916) 991-6402
(916) 991-7297
Mailing address
851 OAK LN, RIO LINDA, CA 95673-2341
(916) 991-6402
(916) 991-7297
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
23948
CA
Other
Enumeration date
02/27/2007
Last updated
07/08/2007
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