Individual
DR. RICHARDSON MICHAEL ODUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
271 HERITAGE WALK, WOODSTOCK, GA 30188-3876
(770) 924-0423
(770) 924-9222
Mailing address
271 HERITAGE WALK, WOODSTOCK, GA 30188-3876
(770) 924-0423
(770) 924-9222
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
Primary
10232
GA
Other
Enumeration date
03/30/2007
Last updated
07/08/2007
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