| Greater Atlanta Oral Facial Surgery | |
|
425 Peachtree Pkwy Cumming GA 30041-7236 | |
| (404) 433-8433 | |
| Not Available |
| Full Name | Greater Atlanta Oral Facial Surgery |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 425 Peachtree Pkwy, Cumming, Georgia |
| Authorized Official Name and Position | Abtin Shahriari (PARTIAL OWENR) |
| Authorized Official Contact | 4044338433 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Greater Atlanta Oral Facial Surgery Po Box 18856 Atlanta GA 31126-0856 Ph: () - | Greater Atlanta Oral Facial Surgery 425 Peachtree Pkwy Cumming GA 30041-7236 Ph: (404) 433-8433 |
| NPI Number | 1174877237 |
|---|---|
| Provider Enumeration Date | 10/28/2012 |
| Last Update Date | 10/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174877237 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | DN013474 (Georgia) | Primary |
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