Individual
DR. JAY M RICHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2677 ELIZABETH LAKE RD, WATERFORD, MI 48328-3290
(248) 682-8811
Mailing address
7023 LANCASTER CT, UNIVERSITY PARK, FL 34201-2371
(941) 355-3335
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
2901008876
MI
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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