Individual
RICHARD S SCHALK JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
647 HOLCOMB BRIDGE RD, COAST DENTAL, ROSWELL, GA 30076-1511
(770) 641-1595
Mailing address
647 HOLCOMB BRIDGE RD, COAST DENTAL, ROSWELL, GA 30076-1511
(770) 641-1595
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN013955
GA
1223G0001X
General Practice Dentistry
4679
SC
Other
Enumeration date
05/06/2010
Last updated
07/21/2010
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