Individual
SUSAN BOYD REILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.D.S
Contact information
Practice address
3535 ROSWELL RD, SUITE 3, MARIETTA, GA 30062-8826
(770) 971-6656
(770) 973-6659
Mailing address
3535 ROSWELL RD, SUITE 3, MARIETTA, GA 30062-8826
(770) 971-6656
(770) 973-6659
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
GA011972
GA
Other
Enumeration date
10/25/2006
Last updated
07/08/2007
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