Razdolsky, Richard

Razdolsky, Richard is an sole proprietor health care provider with primary practice located at 135 Capitol Dr , Pewaukee WI 53072-2401. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Razdolsky, Richard can be contacted via phone (262) 691-3931.

Contact Information

Primary practice address
135 Capitol Dr Pewaukee WI 53072-2401
Phone: (262) 691-3931
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 1001915-15 Wisconsin

Profile Details

NPI number 1154812881
LBN Legal business name Razdolsky, Richard
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2018
Last updated Mar 21st, 2019 - about 7 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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