Provider Demographics
NPI:1134157126
Name:DURANDO, RICHARD S (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:S
Last Name:DURANDO
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 1:625 MENLO AVE
Mailing Address - Street 2:SUITE #4
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4747
Mailing Address - Country:US
Mailing Address - Phone:650-323-8328
Mailing Address - Fax:650-833-0736
Practice Address - Street 1:625 MENLO AVE
Practice Address - Street 2:SUITE #4
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4747
Practice Address - Country:US
Practice Address - Phone:650-323-8328
Practice Address - Fax:650-833-0736
Is Sole Proprietor?:No
Enumeration Date:2006-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA276011223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice