| East Marietta Family Dentistry | |
|
3823 Roswell Rd Suite 104 Marietta GA 30062-6278 | |
| (770) 977-1632 | |
| (770) 578-8140 |
| Full Name | East Marietta Family Dentistry |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 3823 Roswell Rd, Marietta, Georgia |
| Authorized Official Name and Position | William Robert Hansmann (OWNER) |
| Authorized Official Contact | 7709771632 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Marietta Family Dentistry 3823 Roswell Rd Suite 104 Marietta GA 30062-6278 Ph: (770) 977-1632 | East Marietta Family Dentistry 3823 Roswell Rd Suite 104 Marietta GA 30062-6278 Ph: (770) 977-1632 |
| NPI Number | 1831316280 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831316280 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 7874 (Georgia) | Primary |
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