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Organization
CRBAPPLE ORAL SURGERY LLC
Active
Organization
CRBAPPLE ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BARTCH (MANAGER)
(678) 710-6000
Entity
Organization
Contact information
Practice address
5590 ROSWELL RD, SANDY SPRINGS, GA 30342-1909
(678) 710-6000
(678) 710-6001
Mailing address
PO BOX 195, WOODSTOCK, GA 30188-0195
(678) 710-6000
(678) 710-6001
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/15/2010
Last updated
11/15/2010
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