| Leotis Richardson Iii, Dds, P.c. | |
|
1105 Collier Dr Conway AR 72032-8588 | |
| (501) 327-6638 | |
| Not Available |
| Full Name | Leotis Richardson Iii, Dds, P.c. |
|---|---|
| Speciality | Dentist |
| Location | 1105 Collier Dr, Conway, Arkansas |
| Authorized Official Name and Position | Leotis Richardson (OWNER) |
| Authorized Official Contact | 5013276638 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Leotis Richardson Iii, Dds, P.c. 1105 Collier Dr Conway AR 72032-8588 Ph: (501) 327-6638 | Leotis Richardson Iii, Dds, P.c. 1105 Collier Dr Conway AR 72032-8588 Ph: (501) 327-6638 |
| NPI Number | 1255638631 |
|---|---|
| Provider Enumeration Date | 02/19/2011 |
| Last Update Date | 02/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255638631 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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