Snellville Oral Surgery LLC
NPI #1487837423 in Snellville, Georgia
Provider Information
- NPI Number
- 1487837423
- Entity Type
- Organization
- Organization Name
- Snellville Oral Surgery LLC
- Primary Specialty
- Dentist - Oral and Maxillofacial Surgery
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Feb 21, 2013
Practice Location
- Address
- 2221 KNOLLWOOD DRIVE
- City
- Snellville
- State
- Georgia
- ZIP Code
- 30078
- Phone
- (770) 972-7911
Authorized Official
- Name
- DR. DALE ELLIS, DMD
- Title
- OWNER
- Phone
- (770) 972-7911
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Oral and Maxillofacial Surgery — Oral and Maxillofacial Surgery |
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