| NPI | 1326416256 | 
|---|---|
| Doing Business As | CAVALLARO ORTHODONTICS | 
| Entity Type | Organization | 
| Authorized Contact | LAURIE A CAVALLARO Owner 770-971-9228 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN010349) | 
| Additional Taxonomies | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN013778) | 
| Enumeration Date | 2015-09-09 | 
| Last Update Date | 2016-10-06 |