Individual
DR. RICHARD PALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3443 MEDINA RD, MEDINA, OH 44256-5965
(330) 722-7060
Mailing address
3443 MEDINA RD, MEDINA, OH 44256-5965
(330) 722-7060
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
30.016837
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0535362
—
OH
Enumeration date
03/08/2006
Last updated
08/04/2011
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