Individual
SPENCER RAYMOND RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
2002 VINTON ST, OMAHA, NE 68108-1921
(402) 341-5306
(402) 346-1905
Mailing address
2002 VINTON ST, OMAHA, NE 68108-1921
(402) 341-5306
(402) 346-1905
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
09333
IA
122300000X
Dentist
Primary
7113
NE
Other
Enumeration date
08/01/2013
Last updated
12/20/2016
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