Provider Demographics
NPI:1598831885
Name:TING, RICHARD PO (DDS)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:PO
Last Name:TING
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:30652 SANTA MARGARITA PKWY
Mailing Address - Street 2:SUITE F101
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-2864
Mailing Address - Country:US
Mailing Address - Phone:949-459-2882
Mailing Address - Fax:
Practice Address - Street 1:30652 SANTA MARGARITA PKWY
Practice Address - Street 2:SUITE F101
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-2864
Practice Address - Country:US
Practice Address - Phone:949-459-2882
Practice Address - Fax:949-459-2383
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CA392191223X0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223X0400XDental ProvidersDentistOrthodontics and Dentofacial Orthopedics