Individual
HAROLD GRANGE RISH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
99 JESSE HILL JR DR SE, ATLANTA, GA 30303
(404) 730-1471
(404) 730-1475
Mailing address
99 JESSE HILL JR DR SE, ATLANTA, GA 30303
(404) 730-1471
(404) 730-1475
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9373
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00275316D
—
GA
05
—
00275316H
—
GA
01
—
100665
AVESIS
GA
01
—
9180604
DORAL
GA
Enumeration date
10/16/2006
Last updated
07/09/2007
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