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ROCHELLE ANTOINETTE BUTLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8720
(678) 843-8601
Mailing address
424 DECATUR ST SE, ATLANTA, GA 30312-1848
(678) 843-8720
(678) 843-8601

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DN011666
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
292113238B
GA
Enumeration date
01/26/2007
Last updated
11/07/2014
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