| Children For Dentistry Of Roswell, Llc | |
|
12010 Etris Rd Ste A100 Roswell GA 30075-1421 | |
| (678) 445-5444 | |
| (678) 445-5552 |
| Full Name | Children For Dentistry Of Roswell, Llc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 12010 Etris Rd, Roswell, Georgia |
| Authorized Official Name and Position | Jeannine Bartch (MANAGER) |
| Authorized Official Contact | 6784455444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Children For Dentistry Of Roswell, Llc Po Box 195 Woodstock GA 30188-0195 Ph: (678) 445-5444 | Children For Dentistry Of Roswell, Llc 12010 Etris Rd Ste A100 Roswell GA 30075-1421 Ph: (678) 445-5444 |
| NPI Number | 1528369683 |
|---|---|
| Provider Enumeration Date | 11/05/2010 |
| Last Update Date | 11/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528369683 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | (* (Not Available)) | Primary |
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