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 |
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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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