Oral Surgery of West Augusta PC

NPI #1538571435 in Augusta, Georgia

Provider Information

NPI Number
1538571435
Entity Type
Organization
Organization Name
Oral Surgery of West Augusta PC
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
May 27, 2014
Last Updated
May 27, 2014

Practice Location

Address
3634 WHEELER RD
State
Georgia
ZIP Code
30909-6518
Phone
(706) 860-8228

Authorized Official

Name
DR. BORIS J SIDOW, D.D.S.
Title
OWNER SURGEON
Phone
(706) 860-8228

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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