Individual
DR. ROBERT T ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
5555 PEACHTREE DUNWOODY RD NE STE 145, ATLANTA, GA 30342-1789
(404) 255-7541
(404) 255-5829
Mailing address
40 FORREST LAKE DR NW, ATLANTA, GA 30327-3311
(404) 252-2450
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
10825
GA
Other
Enumeration date
02/15/2007
Last updated
07/08/2007
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