Anesthesiologists for Dental Sedation LLC

NPI #1235754151 in Dacula, Georgia

Provider Information

NPI Number: 1235754151
Entity Type: Organization
Organization Name: Anesthesiologists for Dental Sedation LLC
Primary Specialty: Anesthesiology
Enumeration Date: Jun 16, 2020
Last Updated: Jul 15, 2021

Practice Location

Address: 3625 BRASELTON HWY STE 201
City: Dacula
State: Georgia
ZIP Code: 30019-4695
Phone: (678) 889-2326

Authorized Official

Name: CORY KANE MANSOUR, MD
Title: CO-FOUNDING PARTNER/OWNER
Phone: (678) 889-2326

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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