| NPI | 1679626345 |
|---|---|
| Doing Business As | ORTHODONTIC CARE OF GA |
| Entity Type | Organization |
| Authorized Contact | HECTOR MARTIN BUSH Owner 678-432-8508 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics (Licence: GA DN011309) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2020-01-14 |