Organization
LAKE OCONEE ORAL AND MAXILLOFACIAL SURGERY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID CLAY MILLER DDS (PRESIDENT)
(706) 454-1500
Entity
Organization
Contact information
Practice address
1031 FOUNDERS ROW, GREENSBORO, GA 30642
(706) 454-1500
(706) 454-1501
Mailing address
1031 FOUNDERS ROW, GREENSBORO, GA 30642
(706) 454-1500
(706) 454-1501
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012341
GA
Other
Enumeration date
05/24/2012
Last updated
06/29/2012
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