Organization
MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS LLC
Active
Other names
Mountain View Oral Surgery & Dental Implants
Organization subpart
No
Provider details
NPI number
Authorized official
MARK A CHISHOM DMD (ORAL SURGEON)
(770) 218-9135
Entity
Organization
Contact information
Practice address
121 MARBLE MILL RD NW, SUITE 202, MARIETTA, GA 30060-7959
(770) 218-9135
(866) 224-2735
Mailing address
121 MARBLE MILL RD NW, SUITE 202, MARIETTA, GA 30060-7959
(770) 218-9135
(866) 224-2735
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN014013
GA
Other
Enumeration date
08/01/2012
Last updated
08/01/2012
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