Individual provider · NPI-1

Dr. Susan Patricia Alexander, DMD

Dentist, Periodontics · Marietta, GA

NPI number1104084235
StatusActive
Last updated in NPPESMay 27, 2008

Details

NPI
1104084235
Entity type
Individual (NPI-1)
Name
Dr. Susan Patricia Alexander
Credential
DMD
Sex
Female
Sole proprietor
Yes
Enumeration date
May 27, 2008
Last updated
May 27, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1223P0300X Dentist, Periodontics010295GAYes

Practice location

3020 Roswell Rd Ste 130
Marietta, GA 30062-4987

Phone 770-509-2310 · Fax 770-993-5987

Mailing address

3020 Roswell Rd Ste 130
Marietta, GA 30062-4987

Phone 770-509-2310 · Fax 770-993-5987

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