Leotis Richardson Iii, Dds, P.c. | |
1105 Collier Dr Conway AR 72032-8588 | |
(501) 327-6638 | |
Not Available |
Full Name | Leotis Richardson Iii, Dds, P.c. |
---|---|
Speciality | Dentist |
Location | 1105 Collier Dr, Conway, Arkansas |
Authorized Official Name and Position | Leotis Richardson (OWNER) |
Authorized Official Contact | 5013276638 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Leotis Richardson Iii, Dds, P.c. 1105 Collier Dr Conway AR 72032-8588 Ph: (501) 327-6638 | Leotis Richardson Iii, Dds, P.c. 1105 Collier Dr Conway AR 72032-8588 Ph: (501) 327-6638 |
NPI Number | 1255638631 |
---|---|
Provider Enumeration Date | 02/19/2011 |
Last Update Date | 02/19/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1255638631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
122300000X | Dentist | (* (Not Available)) | Primary |
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› Verified 7 days ago
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