Individual
STEVEN D RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
1835 OCEAN BLVD, COOS BAY, OR 97420
(541) 269-0620
(541) 269-9243
Mailing address
1835 OCEAN BLVD, COOS BAY, OR 97420
(541) 269-0620
(541) 269-9243
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4865
OR
Other
Enumeration date
09/06/2006
Last updated
07/08/2007
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