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Organization
GWINNETT CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization
GWINNETT CENTER FOR ORAL & MAXILLOFACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ASIF TAUFIG DDS (OWNER)
(770) 962-0515
Entity
Organization
Contact information
Practice address
15 COLLINS INDUSTRIAL WAY, SUITE B, LAWRENCEVILLE, GA 30043
(770) 962-0515
(770) 962-1244
Mailing address
15 COLLINS INDUSTRIAL WAY, SUITE B, LAWRENCEVILLE, GA 30043
(770) 962-0515
(770) 962-1244
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
NULL
Other
Enumeration date
10/07/2026
Last updated
10/07/2026
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