Individual
DR. RICHARD CARLOS TATUM SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S., M.P.H.
Contact information
Practice address
10630 LITTLE PATUXENT PKWY, SUITE 100, COLUMBIA, MD 21044-3264
(410) 730-8330
(410) 992-4095
Mailing address
10630 LITTLE PATUXENT PKWY, SUITE 100, COLUMBIA, MD 21044-3264
(410) 730-8330
(410) 992-4095
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
4224
MD
Other
Enumeration date
02/17/2007
Last updated
07/08/2007
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