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Organization

ATLANTA ORAL & MAXILLOFACIAL SURGERY, P.C.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTIAN LOETSCHER D.D.S, M.S (PRESIDENT)
(770) 729-1481
Entity
Organization

Contact information

Practice address
3875 HOLCOMB BRIDGE RD, STE 4, NORCROSS, GA 30092-2269
(770) 729-1481
(770) 448-2225
Mailing address
3875 HOLCOMB BRIDGE RD, STE 4, NORCROSS, GA 30092-2269
(770) 729-1481
(770) 448-2225

Taxonomy

Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN010907
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
667702
UNITED CONCORDIA
GA
Enumeration date
02/13/2007
Last updated
08/22/2020
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