MEDICARE: DR. RICHARD ARMSTRONG D.D.S.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry	29550	CA

General Provider Information

NPI Number	:	1831192822
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RICHARD ARMSTRONG D.D.S.

Provider Business Mailing Address
First Line	:	181 E 18TH ST
Second Line	:	STE A
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3000
Country	:	US
Telephone Number	:	949-548-1262
Fax Number	:

Provider Business Practice Location Address
First Line	:	181 E 18TH ST
Second Line	:	STE A
City	:	COSTA MESA
State	:	CA
Zip	:	92627-3000
Country	:	US
Telephone Number	:	949-548-1262
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/23/2005
Last Update Date	:	07/08/2007

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