NPI 1053866335

Ugendiesidett Richardson

Practitioner Dental Assistant El Paso, TX

Practice location

Address: 45524 Anderson Ave, El Paso, TX 79904-4211
Phone: (803) 917-2597

Registered specialties

Dental Assistant Primary

Dental Providers Taxonomy 126800000X Licence 85738 (TX)

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Registry record

NPI: 1053866335
Entity type: Individual
Sex (as registered): Female
NPI issued: 17 Aug 2016
Record last updated: 17 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.