Roddie A Crouch Dds Pc | |
2125 Post Oak Tritt Road Marietta GA 30062-1609 | |
(770) 977-9090 | |
(770) 578-8289 |
Full Name | Roddie A Crouch Dds Pc |
---|---|
Speciality | Dentist - General Practice |
Location | 2125 Post Oak Tritt Road, Marietta, Georgia |
Authorized Official Name and Position | Roddie Amos Crouch (PRESIDENT OWNER) |
Authorized Official Contact | 7709779090 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Roddie A Crouch Dds Pc 2125 Post Oak Tritt Road Marietta GA 30062-1609 Ph: (770) 977-9090 | Roddie A Crouch Dds Pc 2125 Post Oak Tritt Road Marietta GA 30062-1609 Ph: (770) 977-9090 |
NPI Number | 1083805386 |
---|---|
Provider Enumeration Date | 08/05/2007 |
Last Update Date | 08/05/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1083805386 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 8484 (Georgia) | Primary |
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› Verified 5 days ago
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