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1831229426
EDWIN M RICHARDSON
FAYETTEVILLE, GA
NPI
1831229426
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 10241)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. EDWIN M RICHARDSON D.D.S.
113 EBENEZER RD SUITE 101
FAYETTEVILLE, GA 30215-4816
Phone number: 770-487-9797
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Mailing Address
Dr. EDWIN M RICHARDSON D.D.S.
113 EBENEZER RD SUITE 101
FAYETTEVILLE, GA 30215-4816
Phone number: 770-487-9797
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