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Organization

GLEN C MCINTOSH D.D.S., P.C.

Active
Other names
North Georgia Oral Surgery & Dental Implants
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GLEN C MCINTOSH D.D.S. (PRESIDENT)
(770) 476-8576
Entity
Organization

Contact information

Practice address
3400 MCCLURE BRIDGE ROAD, BUILDING G SUITE B, DULUTH, GA 30096
(770) 476-8576
(770) 623-9714
Mailing address
3400 MCCLURE BRIDGE ROAD, BUILDING G SUITE B, DULUTH, GA 30096
(770) 476-8576
(770) 623-9714

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary

Other

Enumeration date
01/30/2008
Last updated
01/30/2008
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