GA SOUTHERN DENTAL PPO

SUWANEE, GA
NPI1417783291
Doing Business AsJAY ROSENHECK DDS
Entity TypeOrganization
Authorized ContactERIKA MELISSA MENJIVAR
Sr. Credentialing Specialist
469-596-6137
Organization Subpart ?Yes
Primary Taxonomy122300000X Dentist
Enumeration Date2024-09-10
Last Update Date2024-09-10
Business Address
GA SOUTHERN DENTAL PPO
1000 PEACHTREE INDUSTRIAL BLVD STE 10
SUWANEE, GA 30024-1977
Phone number: 770-614-4666
Mailing Address
GA SOUTHERN DENTAL PPO
5830 GRANITE PKWY STE 780
PLANO, TX 75024-6775
Phone number: 469-596-6137