Brenda Richardson DDS

NPI 1093772634 - Dentist - 122300000X

NPI Details
NPI 1093772634
Gender Female
Enumeration Date 04/27/2006
Last Updated 05/14/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
819 S SALINA ST
SYRACUSE NY, 13202-3536, US
Phone (315) 476-7921
Fax (315) 474-1448
Business Location
251 SALINA MEADOWS PKWY
SUITE 100
SYRACUSE NY, 13212-4584, US
Phone (315) 464-2096
Fax (315) 464-2010
Toxanomy
Taxonomy Code 122300000X
License State New York
License Number 048507
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According to our database, Brenda Richardson DDS NPI is 1093772634, taxonomy code is 122300000X and license number is 048507, license state is located at New York. Brenda Richardson DDS physically located at 819 S Salina St, Syracuse NY, 13202-3536. NPI Number Brenda Richardson DDS has the Individual type.

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1093772634 NPI number is provided on an as is basis without warranty of any kind. 1093772634 is maintained by the National Plan & Provider Enumeration System. The contents of Brenda Richardson DDS are for informational purposes only.