| Roswell Dental Studio Pc | |
|
355 S Atlanta St Roswell GA 30075-4934 | |
| (770) 380-1404 | |
| Not Available |
| Full Name | Roswell Dental Studio Pc |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 355 S Atlanta St, Roswell, Georgia |
| Authorized Official Name and Position | Gloria Alvarez-kiely (CEO) |
| Authorized Official Contact | 7703801404 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roswell Dental Studio Pc 825 Nettlebrook Ln Milton GA 30004-0955 Ph: (770) 380-1404 | Roswell Dental Studio Pc 355 S Atlanta St Roswell GA 30075-4934 Ph: (770) 380-1404 |
| NPI Number | 1477968410 |
|---|---|
| Provider Enumeration Date | 06/29/2014 |
| Last Update Date | 06/29/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477968410 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | DL011533 (Georgia) | Primary |
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