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Organization
NORTH ATLANTA ORAL AND MAXILLOFACIAL SURGERY
Active
Organization
NORTH ATLANTA ORAL AND MAXILLOFACIAL SURGERY
Active
Other names
Dale R. Duncan DDS
Organization subpart
No
Provider details
NPI number
Authorized official
PAM JEADEMANN (PRACTICE ADMINISTRATOR)
(770) 664-6533
Entity
Organization
Contact information
Practice address
2555 WESTSIDE PKWY STE 350, ALPHARETTA, GA 30004-4191
(770) 664-6533
Mailing address
3275 MARKET PLACE BLVD STE 175, CUMMING, GA 30041-7981
(770) 406-2060
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
—
—
Other
Enumeration date
04/09/2019
Last updated
04/09/2019
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