Individual
RICHARD ANTHONY LAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MDS
Contact information
Practice address
4160 OCOEE ST N STE 2, CLEVELAND, TN 37312-4886
(423) 472-9930
Mailing address
4160 OCOEE ST N STE 2, CLEVELAND, TN 37312-4886
(423) 541-5500
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
10765
TN
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0000010765
TN
Other
Enumeration date
06/13/2018
Last updated
04/26/2023
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