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Organization
EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
Active
Organization
EAST ATLANTA ORAL, IMPLANT AND FACIAL SURGERY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY TARVER DDS (OWNER)
(770) 382-3536
Entity
Organization
Contact information
Practice address
519 MEMORIAL DR SE UNIT D1, ATLANTA, GA 30312-2218
(404) 483-6316
Mailing address
2115 WOLBERT TRL, MARIETTA, GA 30062-7908
(770) 382-3536
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
05/24/2018
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