Provider Demographics
NPI:1407944937
Name:RICHARDSON, RICHARD JAMES II (MS, DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:JAMES
Last Name:RICHARDSON
Suffix:II
Gender:M
Credentials:MS, DDS
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Mailing Address - Street 1:910 WASHBURN AVE
Mailing Address - Street 2:SUITE B
Mailing Address - City:CORONA
Mailing Address - State:CA
Mailing Address - Zip Code:92882-4383
Mailing Address - Country:US
Mailing Address - Phone:951-735-2011
Mailing Address - Fax:951-735-6322
Practice Address - Street 1:910 WASHBURN AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CORONA
Practice Address - State:CA
Practice Address - Zip Code:92882-4383
Practice Address - Country:US
Practice Address - Phone:951-735-2011
Practice Address - Fax:951-735-6322
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-10
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA372771223P0221X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0221XDental ProvidersDentistPediatric Dentistry