Jansen Richins Valid NPI
Individual provider · General Practice Dentistry · Edmond, OK
- NPI
- 1073763975
- Type
- Individual (Type 1)
- Primary specialty
- General Practice Dentistry (Dentist)
- Specialty group
- Dental Providers
- Taxonomy code
- 1223G0001X
- License number
- 6014 (OK)
- Sex
- Male
- Sole proprietor
- No
- Enumerated
- 2008-09-27
- Last updated
- 2008-09-27
Practice location
17420 Mercury Ln
Edmond, OK 73012-7069
(705) 216-3752