Family Orthodontics Of Aell, Llc

NPI 1750682365 - Dentist - 1223X0400X

NPI Details
NPI 1750682365
Enumeration Date 11/12/2010
Last Updated 11/12/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name JEANNINE JEANNINE
Position MANAGER
Phone (678) 445-9191
Fax (678) 445-9173
Practice Location
1678 MULKEY RD
AUSTELL GA, 30106-1147, US
Phone (678) 445-9191
Fax (678) 445-9173
Business Location
PO BOX 195
WOODSTOCK GA, 30188-0195, US
Phone (678) 445-9191
Fax (678) 445-9173
Toxanomy
Taxonomy Code 1223X0400X
License State
License Number
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According to our database, Family Orthodontics Of Aell, Llc NPI is 1750682365, taxonomy code is 1223X0400X Family Orthodontics Of Aell, Llc physically located at 1678 Mulkey Rd, Austell GA, 30106-1147. NPI Number 1033115704 has the healthcare provider type.

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1750682365 NPI number is provided on an as is basis without warranty of any kind. 1750682365 is maintained by the National Plan & Provider Enumeration System. The contents of Family Orthodontics Of Aell, Llc are for informational purposes only.