Individual
DANIELLE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
200 E PONCE DE LEON AVE STE 300, DECATUR, GA 30030-3469
(678) 836-2113
Mailing address
200 E PONCE DE LEON AVE STE 300, DECATUR, GA 30030-3469
(678) 836-2113
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN122716
GA
Other
Enumeration date
05/12/2022
Last updated
06/22/2022
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