Organization
SUSAN ALEXANDER, DMD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN ALEXANDER D.M.D. (PRESIDENT)
(770) 509-2310
Entity
Organization
Contact information
Practice address
3020 ROSWELL RD STE 130, MARIETTA, GA 30062-4987
(770) 509-2310
(770) 993-5987
Mailing address
3020 ROSWELL RD STE 130, MARIETTA, GA 30062-4987
(770) 509-2310
(770) 993-5987
Taxonomy
Speciality
Code
Description
License number
State
1223P0300X
Periodontics
Primary
010295
GA
Other
Enumeration date
02/12/2007
Last updated
08/22/2020
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