Organization
REICH DENTAL CENTER TUCKER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBIN SUE REICH DMD (DENTIST/ OWNER)
(678) 534-1010
Entity
Organization
Contact information
Practice address
2295 PARKLAKE DR NE STE 200, ATLANTA, GA 30345-2812
(678) 534-1010
Mailing address
2295 PARKLAKE DR NE STE 200, ATLANTA, GA 30345-2812
(678) 534-1010
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366837783
TYPE 1 NPI
GA
Enumeration date
09/21/2022
Last updated
09/21/2022
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