Chapel Hill Orthodontics

NPI 1104248137 - Clinic/Center - 261QD0000X

NPI Details
NPI 1104248137
Enumeration Date 01/10/2014
Last Updated 01/10/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name ALLISE M ALLISE
Position OWNER/ORTHODONTIST
Phone (678) 689-0371
Fax
Practice Location
4919 FLAT SHOALS PKWY
210
DECATUR GA, 30034-5210, US
Phone (678) 689-0371
Fax
Business Location
4919 FLAT SHOALS PKWY
210
DECATUR GA, 30034-5210, US
Phone (678) 689-0371
Fax
Toxanomy
Taxonomy Code 261QD0000X
License State Georgia
License Number 012709
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According to our database, Chapel Hill Orthodontics NPI is 1104248137, taxonomy code is 261QD0000X and license number is 012709, license state is located at Georgia. Chapel Hill Orthodontics physically located at 4919 Flat Shoals Pkwy, Decatur GA, 30034-5210. NPI Number 1033115704 has the healthcare provider type.

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1104248137 NPI number is provided on an as is basis without warranty of any kind. 1104248137 is maintained by the National Plan & Provider Enumeration System. The contents of Chapel Hill Orthodontics are for informational purposes only.