Individual
RODDIE CROUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
2125 POST OAK TRITT RD, MARIETTA, GA 30062-1609
(770) 977-9090
(770) 578-8289
Mailing address
2125 POST OAK TRITT RD, MARIETTA, GA 30062-1609
(770) 977-9090
(770) 578-8289
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN08484
GA
Other
Enumeration date
06/09/2009
Last updated
06/09/2009
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