Organization
FAMILY ORTHODONTICS OF VIRGINIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNINE BARTCH (CREDENTIALING MANAGER)
(404) 389-1950
Entity
Organization
Contact information
Practice address
6225 BRANDON AVE STE 170, SPRINGFIELD, VA 22150-2525
(404) 389-1950
(678) 444-4152
Mailing address
1350 SPRING ST NW STE 600, ATLANTA, GA 30309-2870
(404) 389-1950
(678) 444-4152
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
0401414164
VA
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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