Richardson Center For Oral & Facial Surgery Pc | |
6865 Deerpath Rd Dorsey Station, Suite 302 Elkridge MD 21075-6257 | |
(410) 796-3333 | |
(410) 796-3375 |
Full Name | Richardson Center For Oral & Facial Surgery Pc |
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Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 6865 Deerpath Rd, Elkridge, Maryland |
Authorized Official Name and Position | Daniel T Richardson (OWNER) |
Authorized Official Contact | 4107963333 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Richardson Center For Oral & Facial Surgery Pc 6865 Deerpath Rd Dorsey Station, Suite 302 Elkridge MD 21075-6257 Ph: (410) 796-3333 | Richardson Center For Oral & Facial Surgery Pc 6865 Deerpath Rd Dorsey Station, Suite 302 Elkridge MD 21075-6257 Ph: (410) 796-3333 |
NPI Number | 1972733566 |
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Provider Enumeration Date | 07/17/2009 |
Last Update Date | 07/17/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972733566 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | 14259 (Maryland) | Primary |
204E00000X | Oral & Maxillofacial Surgery | D0067181 (Maryland) | Secondary |
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