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Organization
LAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Active
Organization
LAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CLAY MILLER DDS (PRESIDENT)
(706) 454-1500
Entity
Organization
Contact information
Practice address
1031 FOUNDERS ROW, GREENSBORO, GA 30642
(706) 454-1500
(706) 454-1501
Mailing address
1031 FOUNDERS ROW, GREENSBORO, GA 30642
(706) 454-1500
(706) 454-1501
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012341
GA
Other
Enumeration date
05/24/2012
Last updated
06/29/2012
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