Individual
DR. RICHARD E FISET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
508 E 1ST ST, BIRDSBORO, PA 19508-2339
(610) 582-3541
Mailing address
618 E 9TH ST, BIRDSBORO, PA 19508-2635
(610) 582-3549
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DS 025693-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DS-025693-L
DENTAL LICENSE
PA
Enumeration date
03/01/2007
Last updated
07/08/2007
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