NPI 1063961043

Reich Dental Center Roswell LLC

Organisation Preferred Provider Organization Roswell, GA

Practice location

Address: 1775 Woodstock Rd Suite 350, Roswell, GA 30075-2171
Phone: (770) 992-3353
Fax: (770) 992-5149

Authorised official

Name: Robin S Reich
Title: Owner
Phone: (770) 992-3353

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence DN10035 (GA)

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Registry record

NPI: 1063961043
Entity type: Organization
NPI issued: 1 Oct 2016
Record last updated: 1 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.