| NPI | 1649080037 |
|---|---|
| Doing Business As | DEPEW ORTHODONTICS |
| Entity Type | Organization |
| Authorized Contact | DONALD DOUGLAS DEPEW Organizer 770-422-3939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |