Individual
DR. RICHARD D SEABOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS, MS
Contact information
Practice address
1850 WHITES RD, SUITE #1, KALAMAZOO, MI 49008-4801
(269) 345-5141
(269) 345-5142
Mailing address
950 N. 10TH STREET, SUITE 110, KALAMAZOO, MI 49009-6112
(269) 345-5141
(269) 353-1440
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
10028
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4038300
—
MI
Enumeration date
01/12/2007
Last updated
08/14/2008
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