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Organization
ATLANTA WEST ORTHODONTIC CARE, PC
Active
Organization
ATLANTA WEST ORTHODONTIC CARE, PC
Active
Other names
Eisenstein Orthodontics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. OLEG EDUARD EISENSTEIN DMD (PRESEDENT)
(404) 324-7877
Entity
Organization
Contact information
Practice address
1771 LEE RD, SUITE A, LITHIA SPRINGS, GA 30122-3071
(770) 739-1111
Mailing address
215 ARBOR CREEK WAY, ROSWELL, GA 30076
(404) 324-7877
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
Primary
DN012526
GA
Other
Enumeration date
01/08/2010
Last updated
01/08/2010
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