| Northwest Oral & Maxillofacial Surgery Associates, P.c. | |
|
55 Whitcher St Ne Suite 140 Marietta GA 30060-1155 | |
| (770) 422-7630 | |
| (770) 422-6017 |
| Full Name | Northwest Oral & Maxillofacial Surgery Associates, P.c. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 55 Whitcher St Ne, Marietta, Georgia |
| Authorized Official Name and Position | Manuel A. Davila (PRESIDENT) |
| Authorized Official Contact | 7704227630 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northwest Oral & Maxillofacial Surgery Associates, P.c. 55 Whitcher St Ne Suite 140 Marietta GA 30060-1155 Ph: (770) 422-7630 | Northwest Oral & Maxillofacial Surgery Associates, P.c. 55 Whitcher St Ne Suite 140 Marietta GA 30060-1155 Ph: (770) 422-7630 |
| NPI Number | 1194732735 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 06/22/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194732735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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