Organization
MH ORAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIGUEL HERNANDEZ (OWNER)
(770) 248-9059
Entity
Organization
Contact information
Practice address
6000 SINGLETON RD, NORCROSS, GA 30093-1968
(770) 248-9059
Mailing address
6000 SINGLETON RD, NORCROSS, GA 30093-1968
(770) 248-9059
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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