Organization
ROSWELL FAMILY DENTISTRY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNE KOENIG DDS (OWNER)
(770) 998-6000
Entity
Organization
Contact information
Practice address
380 MARKET PL, SUITE 200, ROSWELL, GA 30075-3943
(770) 998-6000
(770) 993-5200
Mailing address
380 MARKET PLACE, SUITE 200, ROSWELL G, GA 30075-3943
(770) 998-6000
(770) 993-5200
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
9263
GA
Other
Enumeration date
12/01/2006
Last updated
08/06/2015
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