| Maxfacesurgery Pllc | |
|
125 Witheridge Dr Duluth GA 30097-7816 | |
| (470) 223-7292 | |
| (888) 919-3051 |
| Full Name | Maxfacesurgery Pllc |
|---|---|
| Speciality | Oral & Maxillofacial Surgery |
| Location | 125 Witheridge Dr, Duluth, Georgia |
| Authorized Official Name and Position | Ravi Chandran (OWNER) |
| Authorized Official Contact | 6012089064 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maxfacesurgery Pllc 125 Witheridge Dr Duluth GA 30097-7816 Ph: (470) 223-7292 | Maxfacesurgery Pllc 125 Witheridge Dr Duluth GA 30097-7816 Ph: (470) 223-7292 |
| NPI Number | 1861124646 |
|---|---|
| Provider Enumeration Date | 06/29/2022 |
| Last Update Date | 07/01/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861124646 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 204E00000X | Oral & Maxillofacial Surgery | (* (Not Available)) | Primary |
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