Oral Surgery of Georgia LLC
NPI #1417374034 in Sandy Springs, Georgia
Provider Information
- NPI Number
- 1417374034
- Entity Type
- Organization
- Organization Name
- Oral Surgery of Georgia LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Mar 20, 2014
- Last Updated
- Mar 20, 2014
Practice Location
- Address
- 5590 ROSWELL RD
- Address 2
- STE 270
- City
- Sandy Springs
- State
- Georgia
- ZIP Code
- 30342-1909
- Phone
- (404) 389-1950
Authorized Official
- Name
- CHARLES O COULTER, DMD
- Title
- OWNER
- Phone
- (404) 389-1950
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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