Organization
ADVANCED ORAL AND MAXILLOFACIAL SURGERY PC
Active
Other names
East Cobb Oral Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL P BRUNNER SR. MD DDS (PRESIDENT)
(770) 321-0257
Entity
Organization
Contact information
Practice address
3535 ROSWELL RD, SUITE 27, MARIETTA, GA 30062-8826
(770) 321-0257
(770) 321-0346
Mailing address
3535 ROSWELL RD, SUITE 27, MARIETTA, GA 30062-8826
(770) 321-0257
(770) 321-0346
Taxonomy
Speciality
Code
Description
License number
State
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
053375
GA
Other
Enumeration date
04/03/2006
Last updated
03/16/2016
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