| NPI | 1952363442 |
|---|---|
| Doing Business As | EAST COBB ORAL SURGERY |
| Entity Type | Organization |
| Authorized Contact | DANIEL P BRUNNER President 770-321-0257 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery (Licence: GA 053375) |
| Enumeration Date | 2006-04-03 |
| Last Update Date | 2016-03-16 |