Organization
ANESTHESIOLOGISTS FOR DENTAL SEDATION LLC
Active
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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