| NPI | 1659789170 |
|---|---|
| Doing Business As | CRABAPPLE ORAL SURGERY & IMPLANT CENTER |
| Entity Type | Organization |
| Authorized Contact | ROOLS LUC DESSIEUX Owner/Oral & Maxillofacial Surgeon 678-710-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0112X Clinic/Center, Oral and Maxillofacial Surgery |
| Enumeration Date | 2014-07-28 |
| Last Update Date | 2014-07-28 |