institution
John V.d. Richardson, Dds., Inc
Dental Clinic/Center in Corcoran, California
NPI 1033509435

John V.d. Richardson, Dds., Inc is a Dental Clinic/Center based in Corcoran, CA and is specialized in Dental. John V.d. Richardson, Dds., Inc practices in Corcoran, CA. The NPI Number for John V.d. Richardson, Dds., Inc is 1033509435 and holds a License No. 39700 (California).

The current practice location address for John V.d. Richardson, Dds., Inc is 1409 Whitley Ave, Corcoran, CA and can be reached out via phone at 559-992-4138 and via fax at 559-992-4079.

Location: 1409 Whitley Ave, Corcoran, CA, 93212-2223
institution
Provider Profile Details
NPI Number
1033509435
Provider Name
John V.d. Richardson, Dds., Inc
Credential
Provider Entity Type
Organization
Address
1409 Whitley Ave, Corcoran, CA, 93212-2223
Phone Number
559-992-4138
Fax Number
559-992-4079
Provider Enumeration Date
01/23/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1255480406 01 INDIVIDUAL NPI
1223000000X 01 TAXONOMY CODE
institution
Provider Business Practice Location Address Details
Address
1409 Whitley Ave
City
State
Zip
93212-2223
Phone Number
559-992-4138
Fax Number
559-992-4079
person
Provider Business Mailing Address Details
Address
1409 Whitley Ave
City
State
Zip
93212-2223
Phone Number
559-992-4138
Fax Number
559-992-4079
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Dental
Taxonomy
License No.
39700 (California)
Definition
Definition to come...
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