Organization
CHILDREN'S DENTISTRY OF ROSWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TODD ASARCH DDS (OWNER)
(678) 445-5444
Entity
Organization
Contact information
Practice address
12020 ETRIS RD, SUITE A100, ROSWELL, GA 30075-1402
(678) 445-5444
(770) 874-0826
Mailing address
PO BOX 161, WOODSTOCK, GA 30188-0161
(678) 445-5444
(770) 874-0826
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
DN013251
GA
Other
Enumeration date
06/02/2009
Last updated
06/02/2009
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