Organization
NORTH ROBERTS ROAD DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VENICIA HENRY (OFFICE MANAGER)
(770) 423-9699
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW, BLD 600 SUITE 660, KENNESAW, GA 30144-7147
(770) 423-9699
(850) 837-7448
Mailing address
1301 SHILOH RD NW, BLD 600 SUITE 660, KENNESAW, GA 30144-7147
(770) 423-9699
(850) 837-7448
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
02/05/2007
Last updated
08/22/2020
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