Individual
DR. MARK DANIEL RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD, MS
Contact information
Practice address
240 S BURROWES ST, STATE COLLEGE, PA 16801-4008
(814) 238-4400
Mailing address
240 S BURROWES ST, STATE COLLEGE, PA 16801-4008
(814) 238-4400
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
DS036772
PA
Other
Enumeration date
07/13/2008
Last updated
07/13/2008
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