Individual
DR. JOHN JAMES RICHTER III
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1 SAGEBRUSH ST, ISLETA, NM 87022
(505) 869-4499
Mailing address
1800 VALDEZ DR NE, ALBUQUERQUE, NM 87112-4827
(505) 291-9605
Taxonomy
Speciality
Code
Description
License number
State
1223D0001X
Public Health Dentistry
Primary
DD1961
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
59970227
—
NM
Enumeration date
01/23/2006
Last updated
07/08/2007
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