Individual
LINDSEY MARIE RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
103 W. CRANFORD AVE, VALDOSTA, GA 31602
(229) 249-0717
Mailing address
103 W CRANFORD AVE, VALDOSTA, GA 31602-2930
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN015451
GA
Other
Enumeration date
07/18/2017
Last updated
08/03/2017
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