| Riley R Swanson Dds, Pc | |
|
2090 Godby Rd College Park GA 30349-5248 | |
| (770) 991-0212 | |
| (770) 997-4854 |
| Full Name | Riley R Swanson Dds, Pc |
|---|---|
| Speciality | Dentist |
| Location | 2090 Godby Rd, College Park, Georgia |
| Authorized Official Name and Position | Riley R Swanson (PRESIDENT) |
| Authorized Official Contact | 7709910212 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Riley R Swanson Dds, Pc 2090 Godby Rd College Park GA 30349-5248 Ph: (770) 991-0212 | Riley R Swanson Dds, Pc 2090 Godby Rd College Park GA 30349-5248 Ph: (770) 991-0212 |
| NPI Number | 1063684462 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063684462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 9207 (Georgia) | Primary |
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