| Roswell Family Dentistry Pc | |
|
380 Market Pl Suite 200 Roswell GA 30075-3943 | |
| (770) 998-6000 | |
| (770) 993-5200 |
| Full Name | Roswell Family Dentistry Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 380 Market Pl, Roswell, Georgia |
| Authorized Official Name and Position | Anne Koenig (OWNER) |
| Authorized Official Contact | 7709986000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Family Dentistry Pc 380 Market Place Suite 200 Roswell G GA 30075-3943 Ph: (770) 998-6000 | Roswell Family Dentistry Pc 380 Market Pl Suite 200 Roswell GA 30075-3943 Ph: (770) 998-6000 |
| NPI Number | 1255409157 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 08/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255409157 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 9263 (Georgia) | Primary |
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