Organization
EAST MARIETTA FAMILY DENTISTRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT HANSMANN D.D.S. (OWNER)
(770) 977-1632
Entity
Organization
Contact information
Practice address
3823 ROSWELL RD, SUITE 104, MARIETTA, GA 30062-6278
(770) 977-1632
(770) 578-8140
Mailing address
3823 ROSWELL RD, SUITE 104, MARIETTA, GA 30062-6278
(770) 977-1632
(770) 578-8140
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
7874
GA
Other
Enumeration date
04/19/2007
Last updated
08/22/2020
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