Individual
LYNNETTE MARTIN-RICHEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1453 FLAGSTONE DR, DYER, IN 46311-2294
(480) 201-3002
Mailing address
1453 FLAGSTONE DR, DYER, IN 46311-2294
(480) 201-3002
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
4673
AZ
Other
Enumeration date
06/02/2014
Last updated
06/02/2014
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