Organization
NORTH GEORGIA ORAL AND FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAMANI GOWDUCHERUVU DDS (OWNER-ORAL AND MAXILLOFACIAL SURGEO)
(248) 914-1691
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C, DULUTH, GA 30096
(770) 476-8576
Mailing address
5198 DINANT DR, JOHNS CREEK, GA 30022-6532
(248) 914-1691
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
04/16/2024
Last updated
04/16/2024
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