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4250 Roswell Rd Ste 110 Marietta GA 30062-8114 | |
| (770) 509-5585 | |
| (770) 509-5625 |
| Full Name | |
|---|---|
| Speciality | Dentist |
| Location | 4250 Roswell Rd Ste 110, Marietta, Georgia |
| Authorized Official Name and Position | David G Kemp (OWNER DOCTOR) |
| Authorized Official Contact | 7705095585 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
17000 Red Hill Ave Irvine CA 92614-5626 Ph: (714) 845-8890 | 4250 Roswell Rd Ste 110 Marietta GA 30062-8114 Ph: (770) 509-5585 |
| NPI Number | 1275967663 |
|---|---|
| Provider Enumeration Date | 08/21/2013 |
| Last Update Date | 08/21/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275967663 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Primary |
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