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Individual

RICHARD JEROME ANTHONY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DDS MS

Contact information

Practice address
4165 BLACKHAWK PLAZA CIR STE 260, DANVILLE, CA 94506-4691
(925) 736-3311
Mailing address
1180 CHESHIRE CIR, DANVILLE, CA 94506-6238
(925) 487-4270

Taxonomy

Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
DDS34025
CA

Other

Enumeration date
11/14/2023
Last updated
11/14/2023
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