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Dr. Jason Richter, DDS

Dentist, General Practice in San Antonio, TX. Individual provider (NPI-1).

NPI number1760104822
StatusActive
Last updated in NPPESSep 15, 2022

Details

NPI
1760104822
Entity type
Individual (NPI-1)
Name
Dr. Jason Richter
Credential
DDS
Sex
Male
Sole proprietor
No
Enumeration date
Sep 15, 2022
Certification date
Sep 15, 2022
Last updated
Sep 15, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223G0001X Dentist, General Practice39029TXYes

Practice location

6326 Nw Loop 410
San Antonio, TX 78238-3803

Phone 210-647-0097

Mailing address

6326 Nw Loop 410
San Antonio, TX 78238-3803

Phone 210-647-0097

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