Organization
ROSWELL DENTAL STUDIO PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GLORIA ALVAREZ-KIELY DDS (CEO)
(770) 380-1404
Entity
Organization
Contact information
Practice address
355 S ATLANTA ST, ROSWELL, GA 30075-4934
(770) 380-1404
Mailing address
825 NETTLEBROOK LN, MILTON, GA 30004-0955
(770) 380-1404
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DL011533
GA
Other
Enumeration date
06/29/2014
Last updated
06/29/2014
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