Organization
ATLANTA ORAL & FACIAL SURGERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANA LEACH (CHIEF FINANCIAL OFFICER)
(770) 977-0364
Entity
Organization
Contact information
Practice address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-2114
(770) 977-0364
(678) 483-8487
Mailing address
1000 JOHNSON FERRY RD, BLDG H, MARIETTA, GA 30068-2114
(770) 977-0364
(678) 483-8487
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
—
—
Other
Enumeration date
07/09/2006
Last updated
03/01/2024
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