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1255409157
ROSWELL FAMILY DENTISTRY PC
ROSWELL, GA
NPI
1255409157
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Entity Type
Organization
Authorized Contact
ANNE KOENIG
Owner
770-998-6000
Organization Subpart ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA 9263)
Enumeration Date
2006-12-01
Last Update Date
2015-08-06
Business Address
ROSWELL FAMILY DENTISTRY PC
380 MARKET PL SUITE 200
ROSWELL, GA 30075-3943
Phone number: 770-998-6000
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Mailing Address
ROSWELL FAMILY DENTISTRY PC
380 MARKET PLACE SUITE 200
ROSWELL G, GA 30075-3943
Phone number: 770-998-6000
Copy
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