Organization
RODDIE A CROUCH DDS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RODDIE AMOS CROUCH DDS (PRESIDENT OWNER)
(770) 977-9090
Entity
Organization
Contact information
Practice address
2125 POST OAK TRITT ROAD, MARIETTA, GA 30062-1609
(770) 977-9090
(770) 578-8289
Mailing address
2125 POST OAK TRITT ROAD, MARIETTA, GA 30062-1609
(770) 977-9090
(770) 578-8289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
8484
GA
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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