Organization
COMPREHENSIVE AESTHETIC & RESTORATIVE DENTISTRY LLC
Active
Other names
Dentistry Of Olde Towne
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER LEE RAUTENSTRAUCH DMD (OWNER LLC MEMBER)
(770) 928-3055
Entity
Organization
Contact information
Practice address
113 TOWNE LAKE PKWY, STE 110, WOODSTOCK, GA 30188
(770) 928-3055
(770) 928-1255
Mailing address
113 TOWNE LAKE PKWY, STE 110, WOODSTOCK, GA 30188
(770) 928-3055
(770) 928-1255
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9445
GA
1223G0001X
General Practice Dentistry
Primary
DN012537
GA
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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