NPI | 1851199616 |
---|---|
Doing Business As | RENEWALL ORTHODONTICS |
Entity Type | Organization |
Authorized Contact | KERISA HARRIOTT President/Orthodontist 770-696-6762 |
Organization Subpart ? | No |
Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
Enumeration Date | 2025-03-06 |
Last Update Date | 2025-03-06 |