Organization
ORTHODONTIC CARE OF GEORGIA
Active
Organization
ORTHODONTIC CARE OF GEORGIA
Active
Other names
Dr. Hector M. Bush, P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT ZAYAS (MANAGER)
(706) 342-7272
Entity
Organization
Contact information
Practice address
1109 S PARK ST, SUITE 203, CARROLLTON, GA 30117-4462
(678) 796-0511
(678) 796-0512
Mailing address
1828 JONESBORO RD, MCDONOUGH, GA 30253-5960
(678) 432-8505
(678) 432-9419
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
011309
GA
Other
Enumeration date
05/05/2009
Last updated
05/05/2009
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