Individual
DR. MICHAEL QUINCY ALAN RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4965 LANIER ISLANDS PKWY STE 105, BUFORD, GA 30518-1717
(770) 831-0559
Mailing address
4965 LANIER ISLANDS PKWY STE 105, BUFORD, GA 30518-1717
(770) 831-0559
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
30022065
OH
1223G0001X
General Practice Dentistry
Primary
DN014751
GA
Other
Enumeration date
10/17/2006
Last updated
07/07/2021
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