| Georgia Oral And Facial Surgery,llc | |
|
1880 W Oak Pkwy Suite 215 Marietta GA 30062-2272 | |
| (404) 806-1762 | |
| Not Available |
| Full Name | Georgia Oral And Facial Surgery,llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1880 W Oak Pkwy, Marietta, Georgia |
| Authorized Official Name and Position | Sandra Aguilar (MANAGER) |
| Authorized Official Contact | 4048061762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Oral And Facial Surgery,llc 1880 W Oak Pkwy Suite 215 Marietta GA 30062-2272 Ph: (404) 806-1762 | Georgia Oral And Facial Surgery,llc 1880 W Oak Pkwy Suite 215 Marietta GA 30062-2272 Ph: (404) 806-1762 |
| NPI Number | 1164742466 |
|---|---|
| Provider Enumeration Date | 06/09/2010 |
| Last Update Date | 06/09/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164742466 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | 054541 (Georgia) | Primary |
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