Individual
HARRY ED RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DS022430L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010846310001
—
PA
01
—
135702
UNITED CONCORDIA
PA
01
—
71016
GEISINGER
PA
Enumeration date
04/06/2006
Last updated
10/18/2011
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