Organization
FAMILY ORTHODONTICS OF S. CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BARTCH (MANAGER)
(404) 389-1950
Entity
Organization
Contact information
Practice address
712 SAINT ANDREWS BLVD, CHARLESTON, SC 29407-7141
(843) 571-5533
(678) 444-4152
Mailing address
1350 SPRING ST NW, STE 600, ATLANTA, GA 30309-2864
(404) 389-1950
(678) 444-4152
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
4396
SC
Other
Enumeration date
02/06/2014
Last updated
02/06/2014
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