Individual
MARIE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
124 NORTHERN LIGHTS DR, N SYRACUSE, NY 13212-4108
(315) 455-2411
(315) 455-1899
Mailing address
PO BOX 3189, SYRACUSE, NY 13220-3189
(315) 454-6000
(315) 454-8650
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
051663-1
NY
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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