Individual
IAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
197 TREADWELL RD, TONAWANDA, NY 14150-8821
(315) 460-5030
Mailing address
197 TREADWELL RD, TONAWANDA, NY 14150-8821
(315) 460-5030
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
7391
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/09/2021
Last updated
02/24/2023
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