Individual
DR. KAREN B RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD - PERIODONTIST
Contact information
Practice address
1601 E MCANDREWS RD, SUITE B, MEDFORD, OR 97504-5300
(541) 772-0109
Mailing address
PO BOX 1061, SANTA CLARA, UT 84765-1061
(541) 772-0109
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
319408-9924
UT
1223P0300X
Periodontics
D9011
OR
124Q00000X
Dental Hygienist
3194089920
UT
Other
Enumeration date
02/01/2009
Last updated
10/22/2023
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