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Individual

DR. CHRISTOPHER BLAKE RICHARDSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.D.S.

Contact information

Practice address
1661 W 2ND AVE, CORSICANA, TX 75110
(903) 872-1661
(903) 872-5961
Mailing address
1661 W 2ND AVE, CORSICANA, TX 75110-4107
(903) 872-1661
(903) 872-5961

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
27274
TX

Other

Enumeration date
08/01/2011
Last updated
03/06/2019
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