Individual
DR. RICHARD MICHAEL BACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
235 OSBORNE AVE, RIVERHEAD, NY 11901-3021
(631) 727-2655
Mailing address
235 OSBORNE AVE, RIVERHEAD, NY 11901-3021
(631) 727-2655
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
030111
NY
Other
Enumeration date
10/03/2007
Last updated
10/03/2007
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