Individual
DR. RICHARD S. GLASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D, P.C
Contact information
Practice address
101 MEADOW DR, SUITE C, CUMMING, GA 30040-2694
(770) 889-2020
(678) 208-9009
Mailing address
101 MEADOW DR, SUITE C, CUMMING, GA 30040-2694
(770) 889-2020
(678) 208-9009
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA8607
GA
Other
Enumeration date
07/17/2006
Last updated
07/08/2007
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