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Individual

ANNE KOENIG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
380 MARKET PL STE 200, ROSWELL, GA 30075-3943
(770) 998-6000
Mailing address
380 MARKET PL STE 200, ROSWELL, GA 30075-3943
(770) 998-6000

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
9263
GA

Other

Enumeration date
06/14/2016
Last updated
06/14/2016
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