| NPI | 1104172741 |
|---|---|
| Doing Business As | MOUNTAIN VIEW ORAL SURGERY & DENTAL IMPLANTS |
| Entity Type | Organization |
| Authorized Contact | MARK A CHISHOM Oral Surgeon 770-218-9135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223S0112X Dentist, Oral and Maxillofacial Surgery (Licence: GA DN014013) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |