Organization
ORAL SURGERY ASSOCIATES & DENTAL IMPLANT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN HOY (CHIEF OPERATING OFFICER)
(770) 483-9692
Entity
Organization
Contact information
Practice address
1463 KLONDIKE RD, STE C, CONYERS, GA 30094
(770) 483-9692
(678) 487-1004
Mailing address
1463 KLONDIKE RD, STE C, CONYERS, GA 30094
(770) 483-9692
(678) 487-1004
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
08/25/2006
Last updated
01/04/2011
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