Individual
DR. RICHARD WAYNE WADDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S
Contact information
Practice address
655 7TH ST BLDG 700700-A, SGHC CREDENTIALS, WARNER ROBINS, GA 31098-2227
(478) 327-8095
Mailing address
704 ARBOR LN, CENTERVILLE, GA 31028-8614
(404) 316-2145
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
60426
CA
390200000X
Student in an Organized Health Care Education/Training Program
60426
CA
Other
Enumeration date
07/22/2011
Last updated
09/21/2016
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