Individual
LAURA SUZANNE RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
3280 HOWELL MILL RD NW STE 230, ATLANTA, GA 30327-4100
(404) 351-7336
Mailing address
238 S COLONIAL HOMES CIR NW UNIT 1505, ATLANTA, GA 30309-1620
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN016002
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
04/08/2018
Last updated
06/01/2021
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