Individual
MRS. ANGELA BONITA RECHEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.D.A.
Contact information
Practice address
1459 LANEY WALKER BLVD, AD 2307, AUGUSTA, GA 30912-0002
(706) 721-2811
Mailing address
4467 SHADOWMOOR DR, MARTINEZ, GA 30907-4508
(706) 868-5186
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
111463
SC
126800000X
Dental Assistant
—
—
Other
Enumeration date
08/30/2008
Last updated
08/30/2008
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