Organization
DANIEL J. RICHARDSON, ADC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE PERNICIARO MATHERNE (OFFICE MANAGER)
(225) 869-4458
Entity
Organization
Contact information
Practice address
2232 S ALBERT ST, LUTCHER, LA 70071-5245
(225) 869-4458
Mailing address
PO BOX 529, LUTCHER, LA 70071-0529
(225) 869-4458
(225) 869-4459
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
06/21/2023
Last updated
06/21/2023
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