NPI | 1770948812 |
---|---|
Doing Business As | ICLEAR ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KALPESHKUMAR THAKKAR Member 404-902-5327 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Additional Taxonomies | 1223P0221X Dentist, Pediatric Dentistry |
Enumeration Date | 2015-12-16 |
Last Update Date | 2015-12-16 |