| Children's Dentistry Of Roswell | |
|
12020 Etris Rd Suite A100 Roswell GA 30075-1402 | |
| (678) 445-5444 | |
| (770) 874-0826 |
| Full Name | Children's Dentistry Of Roswell |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12020 Etris Rd, Roswell, Georgia |
| Authorized Official Name and Position | Todd Asarch (OWNER) |
| Authorized Official Contact | 6784455444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children's Dentistry Of Roswell Po Box 161 Woodstock GA 30188-0161 Ph: (678) 445-5444 | Children's Dentistry Of Roswell 12020 Etris Rd Suite A100 Roswell GA 30075-1402 Ph: (678) 445-5444 |
| NPI Number | 1265668412 |
|---|---|
| Provider Enumeration Date | 06/02/2009 |
| Last Update Date | 06/02/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265668412 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | DN013251 (Georgia) | Primary |
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