| East Atlanta Oral, Implant And Facial Surgery Center | |
|
519 Memorial Dr Se Unit D1 Atlanta GA 30312-2218 | |
| (404) 483-6316 | |
| Not Available |
| Full Name | East Atlanta Oral, Implant And Facial Surgery Center |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 519 Memorial Dr Se Unit D1, Atlanta, Georgia |
| Authorized Official Name and Position | Jeremy Tarver (OWNER) |
| Authorized Official Contact | 7703823536 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Atlanta Oral, Implant And Facial Surgery Center 2115 Wolbert Trl Marietta GA 30062-7908 Ph: (770) 382-3536 | East Atlanta Oral, Implant And Facial Surgery Center 519 Memorial Dr Se Unit D1 Atlanta GA 30312-2218 Ph: (404) 483-6316 |
| NPI Number | 1245721216 |
|---|---|
| Provider Enumeration Date | 05/24/2018 |
| Last Update Date | 05/24/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245721216 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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