SAM REISER CARUSO

WOODSTOCK, GA
NPI1922627256
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: FL  DRP2199)
Additional Taxonomies1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: GA  DN123254)
Enumeration Date2020-04-16
Last Update Date2024-07-01
Business Address
SAM REISER CARUSO DMD
2230 TOWNE LAKE PKWY BLDG 1000, STE 110
WOODSTOCK, GA 30189
Phone number: 770-672-5629
Mailing Address
SAM REISER CARUSO DMD
85 GOLF CREST DR STE 209
ACWORTH, GA 30101-2698
Phone number: 770-672-5629