| NPI | 1366059396 |
|---|---|
| Doing Business As | ORTHODONTIC CARE OF GEORGIA |
| Entity Type | Organization |
| Authorized Contact | HENRY RANKIN DALLAM President 770-331-2529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |