Organization
COBB ORAL SURGERY AND DENTAL IMPLANT CENTER PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SANJEET CHAUDHARY DMD (OWNER)
(617) 642-4893
Entity
Organization
Contact information
Practice address
2155 POST OAK TRITT RD STE 500, MARIETTA, GA 30062-8609
(770) 973-1738
Mailing address
842 SPRINGFIELD AVE, NEW PROVIDENCE, NJ 07974-2439
(617) 642-4893
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
11/08/2018
Last updated
11/08/2018
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