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 |