Individual
RYAN THOMAS RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
2205 W LINCOLN AVE, YAKIMA VALLEY FARM WORKERS CLINIC, YAKIMA, WA 98902-2437
(509) 469-6305
Mailing address
601 N KEYS RD, YAKIMA VALLEY FARM WORKERS CLINIC, YAKIMA, WA 98901-1172
(509) 865-2395
(509) 865-0757
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
DE60655115
WA
1223P0221X
Pediatric Dentistry
Primary
DE60655115
WA
Other
Enumeration date
06/19/2014
Last updated
11/07/2016
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