Platinum Dental of Roswell

NPI #1376661983 in Roswell, Georgia

Provider Information

NPI Number
1376661983
Entity Type
Organization
Organization Name
Platinum Dental of Roswell
Primary Specialty
Dentist - General Practice
Enumeration Date
Mar 26, 2007
Last Updated
Aug 22, 2020

Practice Location

Address
1345 HEMBREE RD
State
Georgia
ZIP Code
30076-3816
Phone
(770) 751-3115

Authorized Official

Name
DR. MARK D. THEBAUT, DDS
Title
OWNER
Phone
(770) 751-3115

Specialties & Taxonomy Codes

Specialty
Dentist - General PracticeGeneral Practice

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