Provider Demographics
NPI:1801980990
Name:RICHARDS, RICHARD ARMAND II (DDS)
Entity type:Individual
Prefix:DR
First Name:RICHARD
Middle Name:ARMAND
Last Name:RICHARDS
Suffix:II
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 1:266 MOBIL AVENUE
Mailing Address - Street 2:SUITE 103
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010
Mailing Address - Country:US
Mailing Address - Phone:805-987-6167
Mailing Address - Fax:805-482-4241
Practice Address - Street 1:266 MOBIL AVENUE
Practice Address - Street 2:SUITE 103
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010
Practice Address - Country:US
Practice Address - Phone:805-987-6167
Practice Address - Fax:805-482-4241
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA32983122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist