Organization
RIVERSIDE ORAL & FACIAL SURGERY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KEITH HUNT M.D., D.D.S. (PRESIDENT)
(706) 235-5570
Entity
Organization
Contact information
Practice address
300 E 6TH AVE, ROME, GA 30161-6000
(706) 235-5570
(706) 235-5238
Mailing address
300 E 6TH AVE, ROME, GA 30161-6000
(706) 235-5570
(706) 235-5238
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN010141
GA
Other
Enumeration date
04/07/2010
Last updated
04/07/2010
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