Mountain View Oral Surgery & Dental Implants | |
121 Marble Mill Rd Nw Suite 202 Marietta GA 30060-7959 | |
(770) 218-9135 | |
(866) 224-2735 |
Full Name | Mountain View Oral Surgery & Dental Implants |
---|---|
Speciality | Dentist - Oral And Maxillofacial Surgery |
Location | 121 Marble Mill Rd Nw, Marietta, Georgia |
Authorized Official Name and Position | Mark A Chishom (ORAL SURGEON) |
Authorized Official Contact | 7702189135 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Mountain View Oral Surgery & Dental Implants 121 Marble Mill Rd Nw Suite 202 Marietta GA 30060-7959 Ph: (770) 218-9135 | Mountain View Oral Surgery & Dental Implants 121 Marble Mill Rd Nw Suite 202 Marietta GA 30060-7959 Ph: (770) 218-9135 |
NPI Number | 1104172741 |
---|---|
Provider Enumeration Date | 08/01/2012 |
Last Update Date | 08/01/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1104172741 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223S0112X | Dentist - Oral And Maxillofacial Surgery | DN014013 (Georgia) | Primary |
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