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Organization
ADVANCED ORAL AND MAXILLOFACIAL SURGERY PC
Active
Organization
ADVANCED ORAL AND MAXILLOFACIAL SURGERY PC
Active
Other names
East Cobb Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P BRUNNER SR. MD DDS (PRESIDENT)
(770) 321-0257
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD, SUITE 27, MARIETTA, GA 30062-8826
(770) 321-0257
(770) 321-0346
Mailing address
3535 ROSWELL RD, SUITE 27, MARIETTA, GA 30062-8826
(770) 321-0257
(770) 321-0346
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
053375
GA
Other
Enumeration date
04/03/2006
Last updated
03/16/2016
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