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Organization

ADDEVALE FAMILY DENTISTRY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EMORY SCHROETER D.M.D. (PRESIDENT)
(770) 229-1490
Entity
Organization

Contact information

Practice address
210 ADDAVALE ST, GRIFFIN, GA 30224-4217
(770) 229-1490
Mailing address
1090 NORTHCHASE PKWY SE STE 150, MARIETTA, GA 30067-6407
(770) 916-5031
(678) 247-7966

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
1223E0200X
Endodontics
1223G0001X
General Practice Dentistry
Primary
1223P0221X
Pediatric Dentistry

Other

Enumeration date
12/12/2016
Last updated
12/12/2016
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