| Bevan Richardson | |
|
851 Oak Ln Rio Linda CA 95673-2341 | |
| (916) 991-6402 | |
| (916) 991-7297 |
| Full Name | Bevan Richardson |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 851 Oak Ln, Rio Linda, California |
| Authorized Official Name and Position | Renee Davidson (OFFICE ADMINISTRATOR) |
| Authorized Official Contact | 9169916402 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bevan Richardson 851 Oak Ln Rio Linda CA 95673-2341 Ph: (916) 991-6402 | Bevan Richardson 851 Oak Ln Rio Linda CA 95673-2341 Ph: (916) 991-6402 |
| NPI Number | 1770085375 |
|---|---|
| Provider Enumeration Date | 02/28/2018 |
| Last Update Date | 02/28/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770085375 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |