Individual
DR. JON L. RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D., PH.D.
Contact information
Practice address
1801 PINE ST, PHILADELPHIA, PA 19103-6601
(215) 545-8600
Mailing address
254 N BOWMAN AVE, MERION STATION, PA 19066-1222
(610) 949-9091
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS017231L
PA
Other
Enumeration date
01/13/2007
Last updated
07/08/2007
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