Organization
PEACHTREE ORAL & MAXILLOFACIAL SURGERY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY P. MARKS D.D.S. (PRESIDENT)
(404) 233-8221
Entity
Organization
Contact information
Practice address
550 PHARR RD NE, SUITE 325, ATLANTA, GA 30305-3428
(404) 233-8221
(404) 233-5783
Mailing address
550 PHARR RD NE, SUITE 325, ATLANTA, GA 30305-3428
(404) 233-8221
(404) 233-5783
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
010603
GA
Other
Enumeration date
03/23/2006
Last updated
11/15/2016
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