Organization
BRYCE RICHARDSON DDS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYSON RICHARDSON DDS (DENTIST/OWNER)
(812) 325-8069
Entity
Organization
Contact information
Practice address
17167 E CEDAR GULCH DR, SUITE 102, PARKER, CO 80134
(812) 325-8069
Mailing address
1536 S COLEMAN CT, BLOOMINGTON, IN 47401-7150
(812) 325-8069
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Enumeration date
08/18/2023
Last updated
08/18/2023
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