Individual
MR. TADD RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RDH
Contact information
Practice address
1955 21ST AVE, VERO BEACH, FL 32960-3091
(772) 257-8224
(772) 213-3157
Mailing address
1555 INDIAN RIVER BLVD STE B210, VERO BEACH, FL 32960-7113
(772) 257-8224
(772) 213-3157
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH20506
FL
Other
Enumeration date
08/05/2020
Last updated
08/05/2020
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