Organization · Type 2 NPI
Bevan Richardson
Dental Clinic/Center · Rio Linda, CA
NPI number
1770085375
Active
Practice location
851 Oak Ln
Rio Linda, CA 95673-2341
Fax (916) 991-7297
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
Another provider at this address
About NPI 1770085375
Bevan Richardson's National Provider Identifier is 1770085375, issued on Feb 28, 2018. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Rio Linda, CA. The record was last updated on Feb 28, 2018.