Richardson, Paul Lee

Richardson, Paul Lee is an individual health care provider with primary practice located at 11092 Anderson St. , Loma Linda CA 92354. He recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Prosthodontics. Dental Providers / General Practice is his primary health care specialty. Richardson, Paul Lee can be contacted via phone (909) 558-4613.

Contact Information

Primary practice address
11092 Anderson St. Loma Linda CA 92354
Phone: (909) 558-4613
Fax: (909) 558-4192
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 22756 California
Dental Providers / Prosthodontics 1223P0700X 22756 California

Profile Details

NPI number 1063532299
LBN Legal business name Richardson, Paul Lee
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 30th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063532299 NPPES
California Other 22756 STATE LICENSE NUMBER
California Other D22756 STATE LICENSE NUMBER

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