Individual
DR. CHARLES COOK RICHTER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
405 N ST MARYS, SUITE # 130, SAN ANTONIO, TX 78205-1747
(210) 222-8260
(210) 222-2461
Mailing address
405 N ST MARYS, SUITE # 130, SAN ANTONIO, TX 78205-1747
(210) 222-8260
(210) 222-2461
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
13019
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K0057007
DPS
TX
Enumeration date
04/11/2007
Last updated
03/07/2023
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