Advanced Oral and Maxillofacial Surgery PC

NPI #1952363442 in Marietta, Georgia

Provider Information

NPI Number
1952363442
Entity Type
Organization
Organization Name
Advanced Oral and Maxillofacial Surgery PC
Primary Specialty
Oral & Maxillofacial Surgery
Enumeration Date
Apr 3, 2006
Last Updated
Mar 16, 2016

Practice Location

Address
3535 ROSWELL RD
Address 2
SUITE 27
State
Georgia
ZIP Code
30062-8826
Phone
(770) 321-0257

Authorized Official

Name
DR. DANIEL P BRUNNER SR., MD DDS
Title
PRESIDENT
Phone
(770) 321-0257

Specialties & Taxonomy Codes

Specialty
Oral & Maxillofacial Surgery

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