Organization
ANESTHESIOLOGISTS FOR DENTAL SEDATION LLC
Active
Other names
Anesthesiologists for Outpatient Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
CORY KANE MANSOUR MD (CO-FOUNDING PARTNER/OWNER)
(678) 889-2326
Entity
Organization
Contact information
Practice address
3625 BRASELTON HWY STE 201, DACULA, GA 30019-4695
(678) 889-2326
(470) 238-3658
Mailing address
3625 BRASELTON HWY STE 201, DACULA, GA 30019-4695
(678) 889-2326
(470) 238-3658
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/16/2020
Last updated
07/15/2021
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