Individual
DR. DOUGLAS DENNIS RICHARDSON SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
4100 W 3RD ST, DENTAL (160), DAYTON, OH 45428-9000
(937) 262-2102
(937) 267-5355
Mailing address
2479 INDIAN WELLS TRL, XENIA, OH 45385-9384
(937) 262-2102
(937) 267-5355
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
14501
OH
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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