Organization
ORO-FACIAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES A DAVIS JR. DMD (OWNER)
(770) 934-2339
Entity
Organization
Contact information
Practice address
3574 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(770) 934-2339
Mailing address
3574 HABERSHAM AT NORTHLAKE, TUCKER, GA 30084-4009
(770) 934-2339
Taxonomy
Speciality
Code
Description
License number
State
1223P0700X
Prosthodontics
—
—
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
—
—
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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