Organization
BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY
Active
Organization
BLUE OCEAN ORAL & MAXILLOFACIAL SURGERY
Active
Other names
Crabapple Oral Surgery & implant Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROOLS LUC DESSIEUX DDS (OWNER/ORAL & MAXILLOFACIAL SURGEON)
(678) 710-6000
Entity
Organization
Contact information
Practice address
260 RUCKER RD, SUITE 400, ALPHARETTA, GA 30004-4198
(678) 710-6000
(678) 710-6001
Mailing address
260 RUCKER RD, SUITE 400, ALPHARETTA, GA 30004-4198
(678) 710-6000
(678) 710-6001
Taxonomy
Speciality
Code
Description
License number
State
261QS0112X
Oral and Maxillofacial Surgery Clinic/Center
Primary
—
GA
Other
Enumeration date
07/28/2014
Last updated
07/28/2014
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