Organization
COUNTY DENTAL PROVIDERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN SZEWCZYK (PRESIDENT)
(770) 443-8411
Entity
Organization
Contact information
Practice address
254 ROSWELL ST SE, MARIETTA, GA 30060-2064
(770) 443-8411
(770) 443-8985
Mailing address
254 ROSWELL ST SE, MARIETTA, GA 30060-2064
(770) 443-8411
(770) 443-8985
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
7410
NC
Other
Enumeration date
12/09/2011
Last updated
03/03/2017
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