Individual
DR. MICHAEL HANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
429 MITCHELL AVE, BOWDON, GA 30108-1405
(770) 258-5516
Mailing address
104 WILDWOOD GLN, VILLA RICA, GA 30180-2418
(256) 282-5354
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN016084
GA
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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