Individual
PEGGY A RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS MS
Contact information
Practice address
16918 S OAK PARK AVE, TINLEY PARK, IL 60477
(708) 532-6868
(708) 633-0952
Mailing address
16918 S OAK PARK AVE, TINLEY PARK, IL 60477
(708) 532-6868
(708) 633-0952
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
—
IL
Other
Enumeration date
12/04/2006
Last updated
07/08/2007
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