Individual
KRISTIAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
125 SHOPS WAY, BIDDEFORD, ME 04005-9436
(207) 282-1229
Mailing address
281 SANDERS CREEK PKWY, EAST SYRACUSE, NY 13057-1307
(315) 454-6000
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
4204
ME
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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