Organization
DAVID W RICHARDS, DDS, PHD
Active
Other names
San Diego Periodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID W RICHARDS DDS (OWNER)
(619) 543-0905
Entity
Organization
Contact information
Practice address
4060 4TH AVE, SUITE 303, SAN DIEGO, CA 92103-2116
(619) 543-0905
(619) 543-0422
Mailing address
4060 4TH AVE, SUITE 303, SAN DIEGO, CA 92103-2116
(619) 543-0905
(619) 543-0422
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
39876
CA
Other
Enumeration date
05/07/2007
Last updated
04/15/2008
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