| Crbappl Oral Surgery Llc | |
|
1678 Mulkey Rd Austell GA 30106-1147 | |
| (678) 710-6000 | |
| (678) 710-6001 |
| Full Name | Crbappl Oral Surgery Llc |
|---|---|
| Speciality | Dentist - Oral And Maxillofacial Surgery |
| Location | 1678 Mulkey Rd, Austell, Georgia |
| Authorized Official Name and Position | Jeannine Bartch (MANAGER) |
| Authorized Official Contact | 6787106000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Crbappl Oral Surgery Llc Po Box 195 Woodstock GA 30188-0195 Ph: (678) 710-6000 | Crbappl Oral Surgery Llc 1678 Mulkey Rd Austell GA 30106-1147 Ph: (678) 710-6000 |
| NPI Number | 1386945863 |
|---|---|
| Provider Enumeration Date | 11/15/2010 |
| Last Update Date | 11/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386945863 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
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