Provider Demographics
NPI:1851347926
Name:KUEHN, RICHARD L (DDS)
Entity Type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:L
Last Name:KUEHN
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1389 VIRGINIA ST
Mailing Address - Street 2:
Mailing Address - City:ALAMO
Mailing Address - State:CA
Mailing Address - Zip Code:94507-2879
Mailing Address - Country:US
Mailing Address - Phone:925-820-5978
Mailing Address - Fax:
Practice Address - Street 1:2723 CROW CANYON RD
Practice Address - Street 2:SU. 215
Practice Address - City:SAN RAMON
Practice Address - State:CA
Practice Address - Zip Code:94583-1635
Practice Address - Country:US
Practice Address - Phone:925-838-1534
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA214691223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice