Individual
RYAN CHALIFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS, MD
Contact information
Practice address
3405 DALLAS HWY SW, MARIETTA, GA 30064-6425
(770) 424-2003
Mailing address
3405 DALLAS HWY SW, MARIETTA, GA 30064-6425
(770) 424-2003
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN123300
GA
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
DS0000010741
TN
Other
Enumeration date
04/25/2018
Last updated
08/28/2024
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