Individual
DR. RICHARD W PUTNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
395 CLEVELAND ST, SUITE 1, BLAIRSVILLE, GA 30512
(706) 745-6848
Mailing address
PO BOX 2059, BLAIRSVILLE, GA 30514
(706) 745-6848
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7788
GA
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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