| Oral Surgery Of West Cobb, Inc. | |
|
5255 Stilesboro Rd Nw Ste 120 Kennesaw GA 30152-7737 | |
| (770) 499-2152 | |
| (770) 499-2157 |
| Full Name | Oral Surgery Of West Cobb, Inc. |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 5255 Stilesboro Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Kellie Guffin (ADMINSITRATOR) |
| Authorized Official Contact | 7704992152 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Oral Surgery Of West Cobb, Inc. 5255 Stilesboro Rd Nw Ste 120 Kennesaw GA 30152-7737 Ph: (770) 499-2152 | Oral Surgery Of West Cobb, Inc. 5255 Stilesboro Rd Nw Ste 120 Kennesaw GA 30152-7737 Ph: (770) 499-2152 |
| NPI Number | 1801160031 |
|---|---|
| Provider Enumeration Date | 03/06/2012 |
| Last Update Date | 03/06/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801160031 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN013572 (Georgia) | Primary |
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