| Jordan Richert Dmd, Pc | |
|
895 Moraga Rd Ste 6 Lafayette CA 94549-5039 | |
| (925) 283-8101 | |
| Not Available |
| Full Name | Jordan Richert Dmd, Pc |
|---|---|
| Speciality | Dentist - Periodontics |
| Location | 895 Moraga Rd Ste 6, Lafayette, California |
| Authorized Official Name and Position | Jordan Richert (PRESIDENT) |
| Authorized Official Contact | 4803588489 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jordan Richert Dmd, Pc 311 Oak St Apt 740 Oakland CA 94607-4627 Ph: (480) 358-8489 | Jordan Richert Dmd, Pc 895 Moraga Rd Ste 6 Lafayette CA 94549-5039 Ph: (925) 283-8101 |
| NPI Number | 1306466172 |
|---|---|
| Provider Enumeration Date | 04/22/2020 |
| Last Update Date | 12/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306466172 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | (* (Not Available)) | Primary |
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