Individual
DR. B. BONITA RICHTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
137 HAND PL, PELHAM, GA 31779-1236
(229) 294-3229
(229) 294-3231
Mailing address
PO BOX 167, PELHAM, GA 31779-0167
(229) 294-3229
(229) 294-3231
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00707385A
—
GA
Enumeration date
07/24/2006
Last updated
07/08/2007
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