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1609507490
ELENA RODERICK
WOODSTOCK, GA
NPI
1609507490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: GA DN122663)
Enumeration Date
2022-06-22
Last Update Date
2022-06-23
Business Address
Dr. ELENA RODERICK DMD
650 CLAREMORE PROFESSIONAL WAY
WOODSTOCK, GA 30188-5188
Phone number: 678-799-6803
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Mailing Address
Dr. ELENA RODERICK DMD
126 MANOR NORTH DR
ALPHARETTA, GA 30004-5422
Phone number: 678-799-6803
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